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Summary of Benefits and Coverage

The Summary of Benefits Coverage (SBC) is required by the Patient Protection and Affordable Care Act (PPACA) to provide you with a concise summary explaining, in plain language, simple and consistent information about medical plan coverage. Summarized are key features of the plan, such as covered benefits cost sharing provisions and some coverage limitations and exceptions that is meant to allow you to compare coverage options across different types of plans and insurance products.


Payless Offerings through the AON-Hewitt Health Exchange:
(Not available in Guam, Saipan, Puerto Rico and U.S. Virgin Islands)

Please go to to review your Summary of Benefits Coverage for all Aon Active Health Exchange Medical plans.  You will find your SBC under the Health Plan Comparison Chart.  These summaries will be available no later than October 24, 2018 for the 2019 plan year.


Payless ShoeSource offerings for Puerto Rico, Virgin Islands, Guam & Saipan:

2019 – TakeCare Summary of Benefits and Coverage

2019 – Triple S Summary of Benefits and Coverage – English

2019 – Triple S Summary of Benefits and Coverage – Spanish