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 N/A PDF
HMO Core 2500 SG PDF PDF N/A PDF
HMO Core 3000 SG PDF PDF N/A PDF
HMO Silver A PDF PDF N/A 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 N/A PDF
HMO Essential 1000 PDF PDF N/A PDF
HMO Essential 2000 PDF PDF N/A PDF
HMO Essential 3000 PDF PDF N/A PDF
HMO Essential 4000 PDF PDF N/A PDF
HMO Essential 5000 PDF PDF N/A PDF
HMO Gold A PDF PDF N/A 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 N/A PDF
HMO Platinum A PDF PDF N/A 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 N/A PDF
HMO Thrive Gold 2000 PDF PDF N/A PDF
HMO Thrive Platinum Copay PDF PDF N/A PDF
HMO Thrive Silver 3000 PDF PDF N/A 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 N/A PDF
HMO Silver 2000 HDHP PDF PDF N/A PDF
HMO Wise 3000/10% HDHP PDF PDF N/A PDF
HMO Max 2000 HDHP PDF PDF N/A PDF
HMO Max 3000 HDHP PDF PDF N/A PDF
HMO Saver 3450 HDHP PDF PDF N/A 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 N/A PDF
PPO Silver A National PDF PDF N/A 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 N/A PDF
PPO Essential 2000 National PDF PDF N/A PDF
PPO Essential 3000 National PDF PDF N/A PDF
PPO Essential 5000 National PDF PDF N/A 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 N/A PDF
PPO Thrive Silver 3000 National PDF PDF N/A 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 N/A PDF
PPO Wise Saver 3450 National HDHP PDF PDF N/A 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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