Plan Documents and Notices

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Review important plan documents, required notices, and Summary Annual Reports for your BrightSpring benefits. Medical plan documents are organized by plan and provider network to help you quickly find the information that applies to you.

2027 Annual Notices

Summary of Benefits and Coverage (SBC) Notice
HIPAA Special Enrollment Rights Notice
Women’s Health and Cancer Rights Act Notice
BrightSpring HIPAA Privacy Notice
Medicare Part D Creditable Coverage Disclosure Notice
Medicare Part D Non-Creditable Coverage Disclosure Notice
Premium Assistance Under Medicaid and CHIP Notice

Wellness Notice
COBRA Continuation Coverage Rights Notice
Health Insurance Marketplace Coverage Options
Illinois Employees: Essential Health Benefits Disclosure
ACA Notice – Change in Measurement Periods
2025 Summary Annual Report – BrightSpring 401(k)
2025 Summary Annual Report – BrightSpring Health and Welfare

View 2027 Combined Annual Notices

Note: If you would like a printed copy of any plan document or notice, please email BrightSpring Benefits or call 844-896-0169.

2027 Welfare Benefit Plan Document, SPD and Cafeteria Plan

These important plan documents provide detailed information about your BrightSpring benefits, including eligibility, coverage, plan administration, and the rules that govern your benefits. We encourage you to review these documents carefully and keep them as a reference throughout the year.

View 2027 Welfare Benefit Plan Document, SPD and Cafeteria Plan (coming soon)

Medical Plan Documents

Imagine360 Medical Plans

Plan Documents, Plan Summaries and Summary of Benefits and Coverage

Summary Plan Description (SPD)

Imagine360 Summary Plan Description (SPD) 2027

Imagine360 – MultiPlan Network

$900 Copay Plan
• Plan Summary
• Summary of Benefits & Coverage (SBC)

$2,800 Copay Plan
• Plan Summary
• Summary of Benefits & Coverage (SBC)

$2,000 HDHP with HSA
• Plan Summary
• Summary of Benefits & Coverage (SBC) – Employee Only
• Summary of Benefits & Coverage (SBC) – Family

$4,000 HDHP with HSA
• Plan Summary
• Summary of Benefits & Coverage (SBC)

MagnaCare Network (NJ, NY, CT)

$900 Copay Plan
• Plan Summary
• Summary of Benefits & Coverage (SBC)

$2,800 Copay Plan
• Plan Summary
• Summary of Benefits & Coverage (SBC)

$2,000 HDHP with HSA
• Plan Summary
• Summary of Benefits & Coverage (SBC) – Employee Only
• Summary of Benefits & Coverage (SBC) – Family

$4,000 HDHP with HSA
• Plan Summary
• Summary of Benefits & Coverage (SBC)

Partners Direct (IN)

$900 Copay Plan
• Plan Summary
• Summary of Benefits & Coverage (SBC)

$2,800 Copay Plan
• Plan Summary
• Summary of Benefits & Coverage (SBC)

$2,000 HDHP with HSA
• Plan Summary
• Summary of Benefits & Coverage (SBC) – Employee Only
• Summary of Benefits & Coverage (SBC) – Family

$4,000 HDHP with HSA
• Plan Summary
• Summary of Benefits & Coverage (SBC)

NAMCI – (TN)

$900 Copay Plan
• Plan Summary
• Summary of Benefits & Coverage (SBC)

$2,800 Copay Plan
• Plan Summary
• Summary of Benefits & Coverage (SBC)

$2,000 HDHP with HSA
• Plan Summary
• Summary of Benefits & Coverage (SBC) – Employee Only
• Summary of Benefits & Coverage (SBC) – Family

$4,000 HDHP with HSA
• Plan Summary
• Summary of Benefits & Coverage (SBC)

EHN (NC)

$900 Copay Plan
• Plan Summary
• Summary of Benefits & Coverage (SBC)

$2,800 Copay Plan
• Plan Summary
• Summary of Benefits & Coverage (SBC)

$2,000 HDHP with HSA
• Plan Summary
• Summary of Benefits & Coverage (SBC) – Employee Only
• Summary of Benefits & Coverage (SBC) – Family

$4,000 HDHP with HSA
• Plan Summary
• Summary of Benefits & Coverage (SBC)

Imagine Health (multi-location)

$900 Copay Plan
• Plan Summary
• Summary of Benefits & Coverage (SBC)

$2,800 Copay Plan
• Plan Summary
• Summary of Benefits & Coverage (SBC)

$2,000 HDHP with HSA
• Plan Summary
• Summary of Benefits & Coverage (SBC)- Employee Only
• Summary of Benefits & Coverage (SBC) – Family

$4,000 HDHP with HSA
• Plan Summary
• Summary of Benefits & Coverage (SBC)

Allied Partnership (Omaha, NE)

$900 Copay Plan
• Plan Summary
• Summary of Benefits & Coverage (SBC)

$2,800 Copay Plan
• Plan Summary
• Summary of Benefits & Coverage (SBC)

$2,000 HDHP with HSA
• Plan Summary
• Summary of Benefits & Coverage (SBC) – Employee Only
• Summary of Benefits & Coverage (SBC) – Family

$4,000 HDHP with HSA
• Plan Summary
• Summary of Benefits & Coverage (SBC)

Pharmacy – MedImpact

Prescription Summary Plan Description (SPD)

• Prescription Drug Summary Plan Description (SPD)

Prescription Plan Summaries

• ACA Preventive Drug List
• Archimedes Rx Booklet

Coupe Health

Plan Documents, Plan Summaries and Summary of Benefits and Coverage

Summary Plan Description (SPD)

• Coupe Health Summary Plan Description

Coupe Health – Anthem BCBS

• Summary of Benefits & Coverage
• Plan Summary

Kaiser Permanente

Summaries of Benefits & Coverage

Northern California

$1,500 HMO
• Plan Summary
• Summary of Benefits & Coverage (SBC)

$3,500 HDHP
• Plan Summary
• Summary of Benefits & Coverage (SBC)

Southern California

$1,500 DHMO
• Plan Summary
• Summary of Benefits & Coverage (SBC)

$3,500 HDHP
• Plan Summary
• Summary of Benefits & Coverage (SBC)

Colorado

$1,500 DHMO
• Summary of Benefits & Coverage (SBC)

$3,500 HDHP
• Summary of Benefits & Coverage (SBC)

Northwest

$1,500 DED
• Plan Summary
• Summary of Benefits & Coverage (SBC)

$3,500 HDHP
• Plan Summary
• Summary of Benefits & Coverage (SBC)

Washington

$1,500 HMO
• Plan Summary
• Summary of Benefits & Coverage (SBC)

$2,500 HDHP
• Plan Summary
• Summary of Benefits & Coverage (SBC)

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