The Summary of Benefits and Coverage documents below describe what each plan covers and what it costs for coverage.  Details contained within these summary pages are for the following plan: Individual | Plan Type: PPO.

The coverage period for the information contained within these documents is from January 1, 2018 through December 31, 2018.


Summary of Benefits

$500 Plan


Download


Summary of Benefits

$5,000 Plan


Download


Summary of Benefits

$1,000 Plan


Download


Summary of Benefits

Medicare Carve-Out Plan


Download


Summary of Benefits

$2,000 Plan


Download

For further information and assistance regarding Summary of Benefits please contact Customer Service at 1-844-728-7896.