View and Search Current Benefit Booklets

Here you can find the details regarding your plan coverage. Please choose the plan you are interested in from the options below. After clicking on a link, use your browser's FIND menu item to search for specific words within the booklet.

This symbol denotes a PDF Document. If it contains a form, you can print it and fill it out.

This symbol denotes a Web Page. If it contains a form, you can fill it online out and submit it.

Prescription Information

Specialty Medications

Commonly Prescribed Medications

*Please note this drug list represents a summary of prescription coverage and is not an all-inclusive list to drugs covered by CEBT. Please contact CEBT customer service to confirm coverage.

Preventative Services

Preventative Services Men/Women

Preventative Services Children

UMR Medical Summary of Benefits and Coverage (SBC)

1/1/2024 - 12/31/2024

Kaiser Medical Summary of Benefits and Coverage (SBC)

7/1/2024 - 6/30/2025

Estimate Your Costs

Kaiser Permanente

KP Formulary List Link: (HMO): DB & NoCO

KP Formulary List Link: (HMO): Southern CO

KP Specialty Drug List

For covered drugs in your area, click here. Once you are directed to the page, click the Find out what drugs are covered in your area link.

Medical Summary Plan Descriptions (SPDs)

EPO Select Medical Benefit Plan

EPO3 Medical Benefit Plan

EPO4 Medical Benefit Plan

EPO5 Medical Benefit Plan

EPO6 Medical Benefit Plan

EPO COVID-19 Testing Plan Amendment

SurgeryPlus Plan Amendment (EPO)

PPO Select Medical Benefit Plan

PPO2 Medical Benefit Plan

PPO3 Medical Benefit Plan

PPO4 Medical Benefit Plan

PPO5 Medical Benefit Plan

PPO6 Medical Benefit Plan

PPO7 Medical Benefit Plan

PPO8 Medical Benefit Plan

PPO COVID-19 Testing Plan Amendment

SurgeryPlus Benefit

SurgeryPlus Plan Amendment (PPO)

Dental Plan Documents

Dental Plan Document (Plans A, B & C)

Delta Dental Plan A Summary

Delta Dental Plan B Summary

Delta Dental Plan C Summary

Vision Plan Documents

VSP Summary Plan Description

Life Coverage

Basic Life Certificate

Voluntary Life Certificate

CEBT Voluntary Life Benefit Booklet

Travel Assistance Policies

The Standard Disability

Special District Association

SDA STD Benefit Summary (180 Day Benefit Period)

SDA STD Certificate (Firefighters Class)

SDA STD Certificate (All Other Classes)

SDA LTD1 Benefit Summary (90 Days Benefit Period)

SDA LTD 90 Days Certificate

SDA LTD2 Benefit Summary (180 Days Benefit Period)

SDA LTD 180 Days Certificate

SDA STD Group Policy Amendment 8/1/2020

Small Group

Small Group STD1 Benefit Summary (90 Day Benefit Period)

Small Group STD2 Benefit Summary (180 Days Benefit Period)

Small Group LTD1 Benefit Summary (90 Day Waiting Period)

Small Group LTD2 Benefit Summary (180 Day Waiting Period)

Small Group LTD Certificate

Small Group STD Certificate

Hospital Reimbursement Plan (HRP)

Hospital Reimbursement Plan Highlights