Refer to your Outline of Coverage to determine which documents apply to your plan.
 

2010 Benefits Changes Rider (280.269)

2010  Benefits Changes Rider - Grandfathered (280.270)

2012 TVHP Benefit Mandates Rider (280.317)

Benefit Enhancement Rider - 280.244

BlueCare Certificate - 280.114 (2013)

BlueCare Certificate - 280.114 (2009)

BlueCare Certificate - 280.114 (2011)

BlueCare Expanded Provider Network Rider - 280.240

Deductible Carryover Rider - 280.331

(Addition of) Deductible Carryover Rider (NEW) -280.246

Diabetes Prescription Drug Benefit Rider - 280.255

Domestic Partnership Rider - 280.121

Federal Mental Health Parity Rider - 280.243

Grandfathered Benefits Rider (TVHP) - 280.290

HRA BlueCare Rider - 280.213

HRA BlueCare Rider w/Preventive Benefits - 280.227

HSA BlueCare Rider - 280.218

Naturopathic Physicians Endorsement - 280.233

Prescription Drug Benefit Rider - 280.122 

Three-tier Prescription Drug Benefits Rider - 280.188

Three-tier Prescription Drug Benefit Rider A - 280.282

TVHP Acupuncture Benefits Rider (280.305)

TVHP Plan Year Accumulator Rider - 280.275

TVHP Prescription Drug Benefits w/Exclusions Rider - 280.280
 

TVHP Preventive Care Rider (280.304)

TVHP Small Group RX Rider - 280.272

Vision Examination Rider - 280.119

Vision Materials Benefit Rider - 280.117

Wellness Drug Rider - 280.279

Updated:  03/29/13