2026 CODAC Benefit Summaries and Carrier Flyers
RIGHT OF SUBROGATION, REIMBURSEMENT, AND OFFSET ............................................................ 88
GENERAL EXCLUSIONS .......................................................................................................................... 91
CLAIMS AND APPEAL PROCEDURES ................................................................................................... 97
FRAUD ...................................................................................................................................................... 109
OTHER FEDERAL PROVISIONS ............................................................................................................ 110
HIPAA ADMINISTRATIVE SIMPLIFICATION MEDICAL PRIVACY AND SECURITY PROVISION .....112
STATEMENT OF ERISA RIGHTS ........................................................................................................... 116
PLAN AMENDMENT AND TERMINATION INFORMATION .................................................................. 118
GLOSSARY OF TERMS .......................................................................................................................... 119
Refer to the separate Prescription Drug Summary Plan Description (SPD) for the Prescription Drug benefit.
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