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Plan Year 2016–17 Plan Documents

For your reference, following are the documents that guide the administration of your UC SHIP plans. 

Campus Document
Davis MEC (Minimum Essential Coverage) Notice to Students
Anthem Benefit Booklet
Student Medical Summary of Benefits & Coverage (SBC)
Student Medical Summary of Benefits & Coverage (SBC) (Spanish version)
Student Medical Summary of Benefits & Coverage (SBC) (Mandarin version)
OptumRx Pharmacy Plan Booklet
OptumRx Pharmacy Formulary
Dental Plan Booklet
Vision Plan Booklet
Hastings MEC (Minimum Essential Coverage) Notice to Students
Anthem Benefit Booklet
Student Medical Summary of Benefits & Coverage (SBC)
Student Medical Summary of Benefits & Coverage (SBC) (Spanish version)
Student Medical Summary of Benefits & Coverage (SBC) (Mandarin version)
OptumRx Pharmacy Plan Booklet
OptumRx Pharmacy Formulary
Dental Plan Booklet
Vision Plan Booklet
Irvine MEC (Minimum Essential Coverage) Notice to Students
Anthem Benefit Booklet
Student Medical Summary of Benefits & Coverage (SBC)
Student Medical Summary of Benefits & Coverage (SBC) (Spanish version)
Student Medical Summary of Benefits & Coverage (SBC) (Mandarin version)
OptumRx Pharmacy Plan Booklet
OptumRx Pharmacy Formulary
Dental Plan Booklet
Vision Plan Booklet
Los Angeles MEC (Minimum Essential Coverage) Notice to Students
Anthem Benefit Booklet
Student Medical Summary of Benefits and Coverage (SBC)
Student Medical Summary of Benefits & Coverage (SBC) (Spanish version)
Student Medical Summary of Benefits & Coverage (SBC) (Mandarin version)
OptumRx Pharmacy Plan Booklet
OptumRx Pharmacy Formulary
Dental Plan Booklet
Vision Plan Booklet
Merced MEC (Minimum Essential Coverage) Notice to Students
Anthem Benefit Booklet
Student Medical Summary of Benefits & Coverage (SBC)
Student Medical Summary of Benefits & Coverage (SBC) (Spanish version)
Student Medical Summary of Benefits & Coverage (SBC) (Mandarin version)
OptumRx Pharmacy Plan Booklet
OptumRx Pharmacy Formulary
Dental Plan Booklet
Vision Plan Booklet
Riverside MEC (Minimum Essential Coverage) Notice to Students
Anthem Benefit Booklet
Student Medical Summary of Benefits & Coverage (SBC)
Student Medical Summary of Benefits & Coverage (SBC) (Spanish version)
Student Medical Summary of Benefits & Coverage (SBC) (Mandarin version)
OptumRx Pharmacy Plan Booklet
OptumRx Pharmacy Formulary
Dental Plan Booklet
Vision Plan Booklet
San Diego MEC (Minimum Essential Coverage) Notice to Students
Anthem Benefit Booklet
Student Medical Summary of Benefits & Coverage (SBC)
Student Medical Summary of Benefits & Coverage (SBC) (Spanish version)
Student Medical Summary of Benefits & Coverage (SBC) (Mandarin version)
OptumRx Pharmacy Plan Booklet
OptumRx Pharmacy Formulary
Dental Plan Booklet
Vision Plan Booklet
San Francisco MEC (Minimum Essential Coverage) Notice to Students
Anthem Benefit Booklet
Student Medical Summary of Benefits & Coverage (SBC)
Student Medical Summary of Benefits & Coverage (SBC) (Spanish version)
Student Medical Summary of Benefits & Coverage (SBC) (Mandarin version)
OptumRx Pharmacy Plan Booklet
OptumRx Pharmacy Formulary
Dental Plan Booklet
Vision Plan Booklet
Santa Cruz MEC (Minimum Essential Coverage) Notice to Students
Anthem Benefit Booklet
Student Medical Summary of Benefits & Coverage (SBC)
Student Medical Summary of Benefits & Coverage (SBC) (Spanish version)
Student Medical Summary of Benefits & Coverage (SBC) (Mandarin version)
OptumRx Pharmacy Plan Booklet
OptumRx Pharmacy Formulary
Dental Plan Booklet
Vision Plan Booklet