Enrollment Applications

1.  CSMT Enrollment Form - 2024

Benefit Summaries

1.  2024 HealthNet HMO – SmartCare KGP
2.  2024 HealthNet HMO – SmartCare KGT
3.  2024 HealthNet HMO – SmartCare KGZ
4.  2024 HealthNet HMO – SmartCare KH2
5.  2024 HealthNet HMO – Full Network KJI
6.  2024 HealthNet HMO – Full Network KJL
7.  2024 HealthNet HMO – Salud Y Mas KDN
8.  2024 HealthNet HMO – Salud Y Mas KE4
9.  2024 HealthNet HMO – ExcelCare KH7
10.  2024 HealthNet HMO – ExcelCare KHG
11.  2024 HealthNet HMO – ExcelCare KHI
12.  2024 HealthNet HMO – ExcelCare KHM
13.  2024 HealthNet PPO – KFB
14.  2024 HealthNet PPO – KFC
15.  2024 HealthNet PPO/HSA – KFK
16.  2024 HealthNet PPO/HSA – KFD

1.  MetLife HMO High – Dental (MET 85)
2.  MetLife HMO Low – Dental (MET 185)
3.  MetLife PPO High – Dental
4.  MetLife PPO Low – Dental

1.  MetLife High Option – Vision
2.  MetLife Low Option – Vision

 

1.  2024 Spanish HealthNet HMO – SmartCare KGP
2.  2024 Spanish HealthNet HMO – SmartCare KGT
3.  2024 Spanish HealthNet HMO – SmartCare KGZ
4.  2024 Spanish HealthNet HMO – SmartCare KH2
5.  2024 Spanish HealthNet HMO – Full Network KJI
6.  2024 Spanish HealthNet HMO – Full Network KJL
7.  2024 Spanish HealthNet HMO – Salud Y Mas KDN
8.  2024 Spanish HealthNet HMO – Salud Y Mas KE4
9.  2024 Spanish HealthNet HMO – ExcelCare KH7
10.  2024 Spanish HealthNet HMO – ExcelCare KHG
11.  2024 Spanish HealthNet HMO – ExcelCare KHI
12.  2024 Spanish HealthNet HMO – ExcelCare KHM
13.  2024 Spanish HealthNet PPO – KFB
14.  2024 Spanish HealthNet PPO – KFC
15.  2024 Spanish HealthNet PPO/HSA – KFK
16.  2024 Spanish HealthNet PPO/HSA – KFD

1.  Spanish MetLife HMO High – Dental (MET 85)
2.  Spanish  MetLife HMO Low – Dental (MET 185)
3.  Spanish MetLife PPO High – Dental
4.  Spanish MetLife PPO Low – Dental

1.  Spanish MetLife High Option – Vision
2.  Spanish MetLife Low Option – Vision

COMPLIANCE

HIPAA Privacy Notice

Your Rights and Protection Against Surprise Medical Bills

Summary Plan Description

Summary Annual Report