BLUE CROSS BLUE SHIELD OF MN at Northfield Public Schools Independent School District 659

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This document provides an overview of the PPOBlue Qualified High Deductible Health Plan for Midwestern Intermediate Unit #4, covering Act 93, Administration, Confidential, and Act 93-Non Bargaining groups. It details policy provisions, in-network and out-of-network care coverage, deductibles ($1,700 individual / $3,400 family), co-insurance, and out-of-pocket maximums for various medical services, behavioral health, and prescription drugs. The plan operates on an annual benefit period from January 1 to December 31, with the document's effective year being 2026. Highmark Blue Cross Blue Shield is the plan administrator, and The Reschini Group is listed as a contact for benefits questions.

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This Purchase Order (P0097185) details the procurement of Personal Choice 65 PPO services from Blue Cross of Philadelphia Independence Blue Cross by Montgomery County Community College. The services are for the period of July 1, 2025, to June 30, 2026, with a total cost of $747,864.00. The order specifies payment terms of Net 30 Days and requires invoices to reference the PO number.

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This document is the Evidence of Coverage and Disclosure Form for the Blue Shield of California Access+ HMO Basic Plan, effective January 1, 2026, and contracted by the CalPERS Board of Administration. It details the comprehensive health coverage, including a summary of covered services, member copayments, out-of-pocket maximums, and specific benefit descriptions like hospital, physician, prescription drugs, mental health, and specialty services. The document also outlines plan administration, member rights and responsibilities, grievance procedures, and exclusions.

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This document details a Purchase Order (GLCN 26-0043) from Gorman Learning Center to Anthem Blue Cross for an 'Open P.O. 2025-2026' totaling $805,000.00. The amount is split between Fund 02 ($250,000.00) and Fund 03 ($555,000.00). The agreement covers the period from July 1, 2025, to June 30, 2026.