2025 Small Group Plan Documents

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HMO Core

Plan Name Benefit Summary SBC EOC Rx Rider
HMO Core 2000 SG PDF PDF PDF PDF
HMO Core 2500 SG PDF PDF PDF PDF
HMO Core 3000 SG PDF PDF PDF PDF
HMO Silver A PDF PDF PDF PDF

SBC = Summary of Benefits and Coverage
EOC = Explanation of Coverage

HMO Essential

Plan Name Benefit Summary SBC EOC Rx Rider
HMO Essential 500 PDF PDF PDF PDF
HMO Essential 1000 PDF PDF PDF PDF
HMO Essential 2000 PDF PDF PDF PDF
HMO Essential 3000 PDF PDF PDF PDF
HMO Essential 4000 PDF PDF PDF PDF
HMO Essential 5000 PDF PDF PDF PDF
HMO Gold A PDF PDF PDF PDF

SBC = Summary of Benefits and Coverage
EOC = Explanation of Coverage

HMO Premium

Plan Name Benefit Summary SBC EOC Rx Rider
HMO Choice Plus PDF PDF PDF PDF
HMO Platinum A PDF PDF PDF PDF

SBC = Summary of Benefits and Coverage
EOC = Explanation of Coverage

HMO Thrive

Plan Name Benefit Summary SBC EOC Rx Rider
HMO Thrive Bronze PDF PDF PDF PDF
HMO Thrive Gold 2000 PDF PDF PDF PDF
HMO Thrive Platinum Copay PDF PDF PDF PDF
HMO Thrive Silver 3000 PDF PDF PDF PDF

SBC = Summary of Benefits and Coverage
EOC = Explanation of Coverage

HMO Wise

Plan Name Benefit Summary SBC EOC Rx Rider
HMO Bronze 2 HDHP PDF PDF PDF PDF
HMO Silver 2000 HDHP PDF PDF PDF PDF
HMO Wise 3000/10% HDHP PDF PDF PDF PDF
HMO Max 2000 HDHP PDF PDF PDF PDF
HMO Max 3000 HDHP PDF PDF PDF PDF
HMO Saver 3450 HDHP PDF PDF PDF PDF

SBC = Summary of Benefits and Coverage
EOC = Explanation of Coverage

PPO Core

Plan Name Benefit Summary SBC EOC Rx Rider
PPO Core 2000 Copay National PDF PDF PDF PDF
PPO Silver A National PDF PDF PDF PDF

SBC = Summary of Benefits and Coverage
EOC = Explanation of Coverage

PPO Essential

Plan Name Benefit Summary SBC EOC Rx Rider
PPO Essential 500 National PDF PDF PDF PDF
PPO Essential 2000 National PDF PDF PDF PDF
PPO Essential 3000 National PDF PDF PDF PDF
PPO Essential 5000 National PDF PDF PDF PDF

SBC = Summary of Benefits and Coverage
EOC = Explanation of Coverage

PPO Thrive

Plan Name Benefit Summary SBC EOC Rx Rider
PPO Thrive Bronze National PDF PDF PDF PDF
PPO Thrive Silver 3000 National PDF PDF PDF PDF

SBC = Summary of Benefits and Coverage
EOC = Explanation of Coverage

PPO Wise

Plan Name Benefit Summary SBC EOC Rx Rider
PPO Wise 3000/10% National HDHP PDF PDF PDF PDF
PPO Wise Saver 3450 National HDHP PDF PDF PDF PDF

SBC = Summary of Benefits and Coverage
EOC = Explanation of Coverage

2025 Small Group HMO Plan Comparison

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2025 Small Group PPO Plan Comparison

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