• Review prescription drug policies and programs. Visit the HealthEquity website to: • Sign in to your personal member portal. • Check your health savings account (HSA) balance. • View and pay a provider’s claim that has already been processed by UMP. • Make deposits directly from your bank account using electronic funds transfer. • Manage your investments (for accounts with more than $1,500). • Check your transaction history. • Find forms or submit an online request to get reimbursed for expenses you paid out of pocket. • View and print monthly account statements and tax forms. How to use this certificate of coverage For general topics, check the table of contents. For an overview of the most common benefits, see the “Summary of benefits” section. The summary also shows: • How much you will pay. • The page numbers where you may learn more about a benefit. To look up unfamiliar terms, see the “Definitions” section. About UMP CDHP Uniform Medical Plan Consumer-directed Health Plan (UMP CDHP) is a self-insured Preferred Provider Organization (PPO) health plan. UMP is offered through the Washington State Health Care Authority’s (HCA’s) Public Employees Benefits Board (PEBB) Program. UMP is administered by Regence BlueShield and Washington State Rx Services (WSRxS) in partnership with HealthEquity, the trustee (manager) of your health savings account (HSA). All prescription drugs, services, or other benefit changes may require approval by the PEB Board. Approval takes place when benefits are procured for the next calendar year. This plan is available only to people eligible for coverage through the PEBB Program. See the “Eligibility and Enrollment” section for more information. This plan is designed to keep you and your enrolled dependents healthy and provide benefits in case of injury or illness. Review this certificate of coverage (COC) carefully so you may get the most from your health care benefits. Features of UMP CDHP UMP CDHP is a health plan that covers the same services as the UMP Classic plan. However, this plan has a different payment structure and a higher deductible for covered services for a lower premium. This plan has one combined deductible for medical services and prescription drugs. If you have one or more dependents enrolled in your plan, you must pay the total combined family deductible before the plan pays for services, including prescription drugs. Certain covered preventive care services and covered insulins are not subject to your deductible, which means the plan will pay for some services before you meet your deductible. See the “Deductible” section under “What you pay for services” for more information. 14 2024 UMP CDHP (PEBB) Certificate of Coverage