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Legal Notices and Plan Documents
Please see below for notices related to your healthcare and benefits provided by Penn Valley Gas.
Special Enrollments Rights, Marketplace information, Women's Health & Cancer Rights, and CHIP Notices(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_7884132a82474b9596b1f561f22ab59d.pdf)
HIPAA Privacy Notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_c6031cf09df54a8a96ace239e58837b8.pdf)
Your Rights and Protections Against Surprise Medical Bills(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_a099eca7b6e14953a16cb86d2e18d264.pdf)
Summary Plan Description - HSA 4500 plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_aef77bfc92da4fde8ab125a31282eeff.pdf)
Summary Plan Description - PPO 3500 plan(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_7dc3467c09374188b6cdb7065530298f.pdf)
Summary of Benefits and Coverage - HSA 4500 plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_314af38f49bf41aabd7ce6083d5857a8.pdf)
Summary of Benefits and Coverage - PPO 3500 plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_374cb54f7cb2447181f127752d65f099.pdf)
Click here (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5f70f50a97024deca233eff3003da734.pdf)
Click here(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_430deab7186e48dca8ef2d838a1d7d75.pdf)
Medicare creditable coverage disclosure notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5822f451343542128ecfdbd14ab7ce32.pdf)
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