Eligibility Section
Use the documents in this section to provide the required proof of dependent benefit eligibility or if you experience a Qualifying Life Event.
Benefits Documents
These various plan documents can be used as reference guides for details about your benefit coverages, as well as fees associated with each type of health care service covered by your plan.
Benefit Overviews
The enclosed benefit overviews provide highlights of your benefit plans and options for each type of employment status.
Benefit Premiums
Our benefit premiums documents provide the cost per-pay-period for your medical, dental and vision benefits, based upon your plan and coverage level.
Additional Resources
Explore these additional resources to learn more about some of our well-being programs.
Benefit Legal Notices
Benefit legal notices are specific reports and/or documents that Banner Health is required by law to provide to all team members.
- 2024 Banner Health - Model Medicare Part D Notice
- Illinois Essential Health Benefit comparison
- 2023 Summary Annual Report
- No Surprise Billing
- No Surprise Billing - Amendment
- Childrens Health Insurance Program notice
- General COBRA Notice
- HIPAA Privacy Notice
- HIPAA Special Enrollment Notice
- MarketPlace Information
- Model Notice - End of Outbreak Period
- Right to Designate PCP Patient Protection Notice
- USERRA_notice
- Womens Health and Cancer Rights Act Notice
Click here to view the Transparency in Coverage MRF.
