Summary of Benefits and Coverage (SBC)

Availability of Summary Health Information

Your plan offers a series of health coverage options. Choosing a health coverage option is an important decision. To help you make an informed choice, your plan makes available a Summary of Benefits and Coverage (SBC), which summarizes important information about any health coverage option in a standard format, to help you compare across options.

A paper copy is also available, free of charge, by calling 1-800-676-4636.

Please note the SBC documents provided below are for the Nortel Networks Inc. Medical Plan, not the Nortel Networks Inc. Retiree Medical Plan.

Make sure you choose the correct SBC(s) based on the medical plan and provider offered in your area, as indicated on your personalized enrollment worksheet.

CIGNA- 80/60 Preferred Provider Organization (PPO) Option
CIGNA- 90/70 Preferred Provider Organization (PPO) Option
CIGNA-
Out-of-Area Comprehensive Option
ANTHEM- 80/60 Preferred Provider Organization (PPO) Option
ANTHEM- 90/70 Preferred Provider Organization (PPO) Option