Summary of Benefits and Coverages (SBCs) provide standard plan information so you can see what is covered. Please use your company’s enrollment materials to determine the available plans.
SBCs (2022)
PPO
- PPACA Bridge Plan RX282 (PBS)
- PPACA Independence Plan RX963 (PRI)
- PPACA Independence Plan RX974 (PRI)
- PPACA Major Medical 35 Plan RX963 (PM35)
- PPACA Major Medical 45 Plan RX974 (PM45)
- PPACA Major Medical 45 Plan RX976 (PM45)
- PPACA Major Medical 257 Plan RX976 (PM257)
- PPACA Major Medical 583 Plan RX963 (P583)
- PPACA Major Medical 786 Plan RX976 (PM786)
- PPACA Major Medical 1836 Plan RX969 (P1836)
- PPACA PS2 Plan RX284 (PS2)
- PPACA Select Plan 20 RX964 (P20)
- PPACA Select Plan 20 RX965 (P20)
- PPACA Select Plan 20 RX974 (P20)
- PPACA Select Plan 30+ RX963 (P30+)
- PPACA Select Plan 30 +RX973 (P30+)
