Forms and Documents
2026 Employer Coverage
Summary of Benefits and Coverage (SBC)
A clear, easy to read summary of covered services and what you pay for common types of care.
English
- Bronze 8650 (PDF)
- Bronze Enhanced 7500 (PDF)
- Gold 2250 (PDF)
- Gold 3500 (PDF)
- Gold Enhanced (PDF)
- Platinum 350 (PDF)
- Platinum Enhanced 1350 (PDF)
- Silver 3000 (PDF)
- Silver 5700 (PDF)
- Silver Enhanced 5300 (PDF)
Spanish
- Bronze 8650 en español (PDF)
- Bronze Enhanced 7500 en español (PDF)
- Gold 2250 en español (PDF)
- Gold 3500 en español (PDF)
- Gold Enhanced en español (PDF)
- Platinum 350 en español (PDF)
- Platinum Enhanced 1350 en español (PDF)
- Silver 3000 en español (PDF)
- Silver 5700 en español (PDF)
- Silver Enhanced 5300 en español (PDF)
Evidence of Coverage (EOC)
The full legal document that describes your benefits, covered services, exclusions, and member rights.
English
Spanish
Schedule of Benefits (SOB)
A detailed breakdown of copays, deductibles, and coinsurance amounts.
English
- Bronze 8650 (PDF)
- Bronze Enhanced 7500 (PDF)
- Gold 2250 (PDF)
- Gold 3500 (PDF)
- Gold Enhanced (PDF)
- Platinum 350 (PDF)
- Platinum Enhanced 1350 (PDF)
- Silver 3000 (PDF)
- Silver 5700 (PDF)
- Silver Enhanced 5300 (PDF)
Spanish
- Bronze 8650 en español (PDF)
- Bronze Enhanced 7500 en español (PDF)
- Gold 2250 en español (PDF)
- Gold 3500 en español (PDF)
- Gold Enhanced en español (PDF)
- Platinum 350 en español (PDF)
- Platinum Enhanced 1350 en español (PDF)
- Silver 3000 en español (PDF)
- Silver 5700 en español (PDF)
- Silver Enhanced 5300 en español (PDF)
Formulary
A list of prescription medications covered by your plan, including coverage tiers and requirements.
English
Spanish
Additional Forms and Documents
24 Hour Nurse Line
CHRISTUS Health, Employer Sponsored health plan members have access to a toll-free 24-hour nurse line.
Call the number 844-581-3175 to speak with a registered nurse at any time, day or night.
If you are experiencing a medical emergency, please dial 911.
Last Updated Date: 4/20/26