Summary of Benefits and Coverage

Large Employer Group Plans

Plan Name20172018
Capital Selection 153050PDFPDF
Capital Selection 1550100PDFPDF
Premier Plus 153050PDFPDF
Premier Selection 153050PDFPDF
Principal Choice 1550100PDFPDF
Quality Choice 1550100PDFPDF
Uniform GlossaryView HereView Here

Small Employer Group Plans

Plan Name20172018
3101 - Platinum 153050PDFPDF
3101 - Platinum 153050 - Religious ExemptionPDFPDF
3102 - Platinum 153050PDFPDF
3104 - Gold 1550100PDFPDF
Basic Option I 1050100PDFPDF
Basic Option II 1050100PDFPDF
Essential Selection 153050PDFPDF
Essential Selection No RxPDFPDF
Standard Option I 103050PDFPDF
Tiered PCP 153050PDFPDF
Tiered PCP No RxPDFPDF
Uniform GlossaryView HereView Here