2026 CODAC Benefit Summaries and Carrier Flyers

PLAN INFORMATION

Plan Name

CODAC HEALTH, RECOVERY & WELLNESS, INC. GROUP HEALTH BENEFIT PLAN

Name And Address Of Employer

CODAC HEALTH, RECOVERY & WELLNESS, INC. 4585 E SPEEDWAY BLVD TUCSON AZ 85711 CODAC HEALTH, RECOVERY & WELLNESS, INC. 4585 E SPEEDWAY BLVD TUCSON AZ 85711 520-202-1713

Name, Address, And Phone Number Of Plan Administrator

Named Fiduciary

CODAC HEALTH, RECOVERY & WELLNESS, INC.

Claim Appeals Fiduciary For Medical Claims

HealthSCOPE Benefits

Employer Identification Number Assigned By The IRS

23-7086112

Plan Number Assigned By The Plan

501

Type Of Benefit Plan Provided

Self-funded Health and Welfare Plan providing group health benefits.

Type Of Administration

The administration of the Plan is under the supervision of the Plan Administrator. The Plan is not financed by an insurance company and benefits are not guaranteed by a contract of insurance. HealthSCOPE Benefits provides administrative services such as claim payments for medical claims.

Name And Address Of Agent For Service Of Legal Process

JERRY BROMIEL ONE SOUTH CHURCH AVE STE 2130 TUCSON AZ 85701

Service of legal process may also be made upon the Plan Administrator.

Funding Of The Plan

Employer and Employee Contributions.

Benefits are provided by a benefit Plan maintained on a self-insured basis by Your employer.

Benefit Plan Year

Benefits begin on January 1 and end on the following December 31. For new Employees and Dependents, a Benefit Plan Year begins on the individual’s Effective Date and runs through December 31 of the same Benefit Plan Year.

ERISA Plan Year

January 1 through December 31

-2-

7670-00- 415125