HMO
HMOs are also available to Retirees and access is determined by geographic location and Medicare eligibility status.
HMO Wrapper
Download the HMO/Insured Health Plan Summary Plan Description (SPD) Wrapper. Besides the HMO SPD Wrapper, you will need to contact the specific HMO for a brochure that describes coverage information and terms and conditions.
HMO Wrapper (517KB PDF)
CIGNA Self Insured Plan Summary Plan Description (647KB PDF)
HealthPartners Minnesota Summary Plan Description (633KB PDF)
State Specific HMO Charts
To download state specific HMO charts, select the state in which you live from the list below.
Arizona (40KB PDF)
California (201KB PDF)
Connecticut (40KB PDF)
Florida (40KB PDF)
Illinois (68KB PDF)
Kentucky (39KB PDF)
Louisiana (40KB PDF)
Michigan (52KB PDF)
Minnesota (40KB PDF)
New Jersey (64KB PDF)
New York (52KB PDF)
North Carolina (48KB PDF)
Ohio (40KB PDF)
Pennsylvania (44KB PDF)
Texas (44KB PDF)
West Virginia and Maryland (56KB PDF)
Who to Contact for HMO’s
Secova Helpline: (888) 282-0424
Triple-S PPO
Triple-S PPO Charts (32KB PDF)
Who to Contact for Triple-S PPO:
Triple-S: (787) 749-4777
Web site: Triple-S
