Group Medical Insurance
| Summary | SBC | Booklet | Deductibles |
| Plan 1 | Plan 1 SBC | Plan 1 | $500 Ind./$1,000 Family |
| Plan 2 | Plan 2 SBC | Plan 2 | $1,000 Ind./$2,000 Family |
| Plan 3 | Plan 3 SBC | Plan 3 | $1,500 Ind./$3,000 Family |
| Plan 4 | Plan 4 SBC | Plan 4 | $2,000 Ind./$4,000 Family |
| Plan 5 | Plan 5 SBC | Plan 5 | $1,500 Ind./$3,000 Family |
| Plan 6 | Plan 6 SBC | Plan 6 | $2,500 Ind./$5,000 Family |
| Plan 7 | Plan 7 SBC | Plan 7 | $2,500 Ind./$5,000 Family |
| Plan 8 | Plan 8 SBC | Plan 8 | $3,000 Ind./$6,000 Family |
| Plan 9 | Plan 9 SBC | Plan 9 | $2,000 Ind./$4,000 Family |
| Plan 10 | Plan 10 SBC | Plan 10 | $3,500 Ind./$7,000 Family |
| Plan 11 | Plan 11 SBC | Plan 11 | $4,000 Ind./$8,000 Family |
| Plan 12 | Plan 12 SBC | Plan 12 | $2,800 Ind./$5,600 Family |
| Plan 13 | Plan 13 SBC | Plan 13 | $3,000 Ind./$6,000 Family |
| Plan 14 | Plan 14 SBC | Plan 14 | $4,000 Ind./$8,000 Family |
| Plan 15 | Plan 15 SBC | Plan 15 | $4,000 Ind./$8,000 Family |
| Plan 16 | Plan 16 SBC | Plan 16 | $6,350 Ind./$12,700 Family |
| Plan 17 | Plan 17 SBC | Plan 17 | $8,300 Ind./$16,600 Family |
| Plan 18 | Plan 18 SBC | Plan 18 | $6,000 Ind./$12,000 Family |
Dental and Vision Benefits
Important Notices and Claim Forms
Notice of Privacy Practices
Summary Plan Description
My Health Toolkit
Claim Form - Columbia Service Center
Claim Form - Greenville Service Center
Minimum Essential Coverage Notice
Medicare Creditable Coverage Notice
Fax completed Medical Change Form to Capstone Administrators at 317-222-3003
Mr. Mark Brown, CAE, Associate Executive Director, 803-750-2277 or 800-327-2598 in SC
