Benefit Booklet: Plan 1

ABCBS - LG ASO POS v0 8 8X5W Benefit Booklet (Referred to as “Booklet” in the following pages) Anthem HealthSync Options POS 3 Tier HCCSC Employee Trust 01 - 01 - 2026 Si necesita ayuda en español para entender este documento, puede solicitarla sin costo adicional, llamando al número de servicio al cliente que aparece en el reverso de su Tarjeta de Identificación. If you need Spanish - language assistance to understand this document, you may request it at no additional cost by calling Member Services at the number on the back of your Identification Card. Plan Administered by: Anthem Insurance Companies, Inc. 220 Virginia Avenue Indianapolis, Indiana 46204 Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc. Independent licensee of the Blue Cross and Blue Shield Association. A nthem is a registered trademark of Anthem Insurance Companies, Inc.