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City of Lakewood : Plan 1 Goveaagc Period: 01101017 � IV3112017 <br />Summary of Benefits and Coverage: what Thls Plan CwemawbalICosm Coveragelor SmglewFamlty l Dian Type: PM <br />Your Grievance and Appeals Rights: <br />Ilyouhaveewmyfeinlware dissagafied xiN adruaf olrovemyewdanu mgeryow plan, you moybenhlebae�wfpee� Forqungons ebwvlyour <br />ighta, N 1 EM m assisfavx dd,w wnbd: Ne plan a18W.5C0150.1 Yov may also mnUcl Ne OepaMbnl of LabMa Empbyee 8enefls Sewnry Ad�rircstralion <br />a18fie.Ata.EBSA (32]a)wwnvidd gwiebaaMeaNrelwm. <br />Does this Coverage Provide Minimum Essential Coverage? <br />Tim Aflonbble Care Ma,amsl people b have N ffi caremvwoge Nat qualfin.Wriimum essential wvemge' This Dlanarpolicy don provide minimum <br />essential coverage. <br />Does this Coverage Most the Minimum Value Standard? <br />The Aflwdehle CareAal nfeGUM1esafrtnimienvalue slantleN o(Mnefi6 olahcelN plan Theednimum value slandmd isW .(acNadal valuel_ThiaheelN amimage <br />dcea meN@a minimumvalue slantlaN brthe bene(b ltprovitlea. <br />26 <br />