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2021 North Memorial Acclaim Plan Documents

To see your summary of benefits and coverage (SBC) and policy of coverage documents, select your state and plan below.

Looking for the 2020 documents?

Minnesota Plans

Document Care Type  
Summary of Benefits and Coverage (SBC) Silver HSA (PDF)  Bronze HSA (PDF)
Policy of Coverage
Silver HSA (PDF) Bronze HSA (PDF)
Document Care Type
Summary of Benefits and Coverage (SBC) Silver Share (PDF) Bronze Share Plus (PDF)
Policy of Coverage Silver Share (PDF) Bronze Share Plus (PDF)
Date: 3/25/2023 6:36:02 PM Version: 4.0.30319.42000 Machine Name: PWIM4-CDWEB01