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2021-2022 Documents
Davis
Student Medical Summary of Benefits & Coverage (SBC)
Anthem Benefit Booklet
Delta Dental Evidence of Coverage
OptumRx Pharmacy Plan Booklet
OptumRx Pharmacy Formulary
OptumRx Pharmacy Formulary Exclusions
Vision Plan Booklet
Vision Plan Booklet (Spanish version)
Vision Plan Booklet (Mandarin version)
Hastings
Student Medical Summary of Benefits & Coverage (SBC)
Anthem Benefit Booklet
Delta Dental Evidence of Coverage
OptumRx Pharmacy Plan Booklet
OptumRx Pharmacy Formulary
OptumRx Pharmacy Formulary Exclusions
Vision Plan Booklet
Vision Plan Booklet (Spanish version)
Vision Plan Booklet (Mandarin version)
Irvine
Student Medical Summary of Benefits & Coverage (SBC)
Anthem Benefit Booklet
Delta Dental Evidence of Coverage
OptumRx Pharmacy Plan Booklet
OptumRx Pharmacy Formulary
OptumRx Pharmacy Formulary Exclusions
Vision Plan Booklet
Vision Plan Booklet (Spanish version)
Vision Plan Booklet (Mandarin version)
Los Angeles
Student Medical Summary of Benefits & Coverage (SBC)
Anthem Benefit Booklet
Delta Dental Evidence of Coverage
OptumRx Pharmacy Plan Booklet
OptumRx Pharmacy Formulary
OptumRx Pharmacy Formulary Exclusions
Vision Plan Booklet
Vision Plan Booklet (Spanish version)
Vision Plan Booklet (Mandarin version)
Merced
Student Medical Summary of Benefits & Coverage (SBC)
Anthem Benefit Booklet
Delta Dental Evidence of Coverage
OptumRx Pharmacy Plan Booklet
OptumRx Pharmacy Formulary
OptumRx Pharmacy Formulary Exclusions
Vision Plan Booklet
Vision Plan Booklet (Spanish version)
Vision Plan Booklet (Mandarin version)
Riverside
Student Medical Summary of Benefits & Coverage (SBC)
Anthem Benefit Booklet
Delta Dental Evidence of Coverage
OptumRx Pharmacy Plan Booklet
OptumRx Pharmacy Formulary
OptumRx Pharmacy Formulary Exclusions
Vision Plan Booklet
Vision Plan Booklet (Spanish version)
Vision Plan Booklet (Mandarin version)
San Diego
Student Medical Summary of Benefits & Coverage (SBC)
Anthem Benefit Booklet
Delta Dental Evidence of Coverage
OptumRx Pharmacy Plan Booklet
OptumRx Pharmacy Formulary
OptumRx Pharmacy Formulary Exclusions
Vision Plan Booklet
Vision Plan Booklet (Spanish version)
Vision Plan Booklet (Mandarin version)
San Francisco
Student Medical Summary of Benefits & Coverage (SBC)
Anthem Benefit Booklet
Delta Dental Evidence of Coverage
OptumRx Pharmacy Plan Booklet
OptumRx Pharmacy Formulary
OptumRx Pharmacy Formulary Exclusions
Vision Plan Booklet
Vision Plan Booklet (Spanish version)
Vision Plan Booklet (Mandarin version)
Santa Barbara
Student Medical Summary of Benefits & Coverage (SBC)
Anthem Benefit Booklet
Delta Dental Evidence of Coverage
OptumRx Pharmacy Plan Booklet
OptumRx Pharmacy Formulary
OptumRx Pharmacy Formulary Exclusions
Vision Plan Booklet
Vision Plan Booklet (Spanish version)
Vision Plan Booklet (Mandarin version)
Santa Cruz
Student Medical Summary of Benefits & Coverage (SBC)
Anthem Benefit Booklet
Delta Dental Evidence of Coverage
OptumRx Pharmacy Plan Booklet
OptumRx Pharmacy Formulary
OptumRx Pharmacy Formulary Exclusions
Vision Plan Booklet
Vision Plan Booklet (Spanish version)
Vision Plan Booklet (Mandarin version)