| Area | flav | Metal | PN | Description | Product | CPID | SHOP |
Click For
| Start | End | Carrier |
| VA | M | Gold | 1000 | VA Gold HMO 500A | HMO | 14020903 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Gold | 1001 | VA Gold HMO 80% | HMO | 14020905 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Gold | 1002 | VA Gold HMO 1000 100% | HMO | 14020907 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 1003 | VA Silver HMO 2000 100% | HMO | 14020909 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 1004 | VA Silver HMO 2000 80% | HMO | 14020911 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 1005 | VA Silver HMO 2000 60% | HMO | 14020913 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Gold | 1006 | VA Gold HNOnly 500A | HMO | 14020915 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Gold | 1007 | VA Gold HNOnly 80% | HMO | 14020917 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Gold | 1008 | VA Gold HNOnly 1000 100% | HMO | 14020919 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 1009 | VA Silver HNOnly 2000 100% | HMO | 14020921 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 1010 | VA Silver HNOnly 2000 80% | HMO | 14020923 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 1011 | VA Silver HNOnly 2000 60% | HMO | 14020925 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 1012 | VA Silver HNOnly 2000 100% HSA | HMO | 14020927 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 1013 | VA Silver HNOnly 2000 90% HSA | HMO | 14020929 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Bronze | 1014 | VA Bronze HNOnly 2800 HSA | HMO | 14020931 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Bronze | 1015 | VA Bronze HNOnly 4500 100% HSA | HMO | 14020933 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Gold | 1016 | VA Gold PPO 100/50 500A | PPO | 14020935 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Gold | 1017 | VA Gold PPO 80/50 | PPO | 14020937 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Gold | 1018 | VA Gold PPO 1000 100/50 | PPO | 14020939 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 1019 | VA Silver PPO 2000 100/50 | PPO | 14020941 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 1020 | VA Silver PPO 2000 80/50 | PPO | 14020943 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 1021 | VA Silver PPO 2000 60/50 | PPO | 14020945 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 1022 | VA Silver PPO 2000 100/50 HSA | PPO | 14020947 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 1023 | VA Silver PPO 2000 90/50 HSA | PPO | 14020949 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Bronze | 1024 | VA Bronze PPO 2800 HSA | PPO | 14020951 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Bronze | 1025 | VA Bronze PPO 4500 100/50 HSA | PPO | 14020953 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Silver | 1030 | MD Silver OAMC 2000 70% | POS | 14019552 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Gold | 1031 | MD Gold OAMC 2000 70% | POS | 14019553 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Silver | 1032 | MD Silver HMO 2000 70% S1 | HMO | 14019555 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Gold | 1033 | MD Gold HMO 2000 70% S1 | HMO | 14019556 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Silver | 1034 | MD Silver Indemnity 2000 80% | IND | 14019560 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Bronze | 1035 | MD Bronze PPO 4450 100/80 HSA | PPO | 14019561 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Bronze | 1036 | MD Bronze PPO 3450 HSA | PPO | 14019562 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Silver | 1037 | MD Silver PPO 2000 100/80 HSA | PPO | 14019563 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Silver | 1038 | MD Silver PPO 1500 80/60 HSA | PPO | 14019564 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Silver | 1039 | MD Silver PPO 2000 60/50 | PPO | 14019565 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Silver | 1040 | MD Silver PPO 1500 60/50 | PPO | 14019566 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Silver | 1041 | MD Silver PPO 2000 70/50 | PPO | 14019567 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Silver | 1042 | MD Silver PPO 1500 70/50 | PPO | 14019568 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Silver | 1043 | MD Silver PPO 1200 70/50 | PPO | 14019569 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Gold | 1044 | MD Gold PPO 1000 70/50 | PPO | 14019570 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Gold | 1045 | MD Gold PPO 80/60 | PPO | 14019571 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Gold | 1046 | MD Gold PPO 100/80 500A | PPO | 14019572 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Bronze | 1047 | MD Bronze HNOnly 4450 100% HSA | HMO | 14019573 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Bronze | 1048 | MD Bronze HNOnly 3450 HSA | HMO | 14019574 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Silver | 1049 | MD Silver HNOnly 2000 100% HSA | HMO | 14019575 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Silver | 1050 | MD Silver HNOnly 1500 80% HSA | HMO | 14019576 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Silver | 1051 | MD Silver HNOnly 2000 70% | HMO | 14019577 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Silver | 1052 | MD Silver HNOnly 1500 70% | HMO | 14019578 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Silver | 1053 | MD Silver HNOnly 1200 70% | HMO | 14019579 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Gold | 1054 | MD Gold HNOnly 1000 70% | HMO | 14019580 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Gold | 1055 | MD Gold HNOnly 80% | HMO | 14019581 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Gold | 1056 | MD Gold HNOnly 500A | HMO | 14019582 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Silver | 1057 | MD Silver HMO 2000 70% | HMO | 14019583 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Silver | 1058 | MD Silver HMO 1500 70% | HMO | 14019584 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Silver | 1059 | MD Silver HMO 1200 70% | HMO | 14019585 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Gold | 1060 | MD Gold HMO 1000 70% | HMO | 14019586 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Gold | 1061 | MD Gold HMO 80% | HMO | 14019587 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Gold | 1062 | MD Gold HMO 500A | HMO | 14019588 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Bronze | 1063 | MD Bronze OAMC 3450 HSA | POS | 14020205 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Bronze | 1064 | MD Bronze HMO 3450 HSA S1 | HMO | 14020207 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Gold | 1065 | MD Gold HMO 2000 70% S2 | HMO | 14019559 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Silver | 1066 | MD Silver HMO 2000 70% S2 | HMO | 14019558 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| MD | M | Bronze | 1067 | MD Bronze HMO 3450 HSA S2 | HMO | 14020209 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| DC | M | Bronze | 1071 | DC Bronze HMO 6350 | HMO | 14018832 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| DC | M | Bronze | 1072 | DC Bronze OAMC 6350 | POS | 14018835 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| DC | M | Gold | 1073 | DC Gold HMO 2000 70% | HMO | 14018838 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| DC | M | Gold | 1074 | DC Gold HMO 70% | HMO | 14018841 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| DC | M | Gold | 1075 | DC Gold HMO 90% | HMO | 14018845 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| DC | M | Gold | 1076 | DC Gold HNOnly 70% | HMO | 14018849 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| DC | M | Gold | 1077 | DC Gold HNOnly 90% | HMO | 14018853 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| DC | M | Gold | 1078 | DC Gold OAMC 2000 70% | POS | 14018856 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| DC | M | Gold | 1079 | DC Gold OAMC 70/50 | POS | 14018859 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| DC | M | Gold | 1080 | DC Gold OAMC 90/50 | POS | 14018863 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| DC | M | Silver | 1081 | DC Silver HMO 5000 70% | HMO | 14018867 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| DC | M | Silver | 1082 | DC Silver HNOnly 2000 90% HSA | HMO | 14018870 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| DC | M | Silver | 1083 | DC Silver OAMC 2000 90/50 HSA | POS | 14018874 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| DC | M | Silver | 1084 | DC Silver OAMC 5000 70% | POS | 14018878 | ? |
Benefits
| 1/1/2014 | 6/30/2014 | AET | |
| VA | M | Platinum | 1100 | Premier DirectAccess - gwaa | PPO | 0SMT | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Platinum | 1101 | Premier DirectAccess - gyaa | PPO | 0SNA | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Platinum | 1102 | HealthKeepers Premier DirectAccess - gwaa | POS | 0SN9 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Platinum | 1103 | HealthKeepers Premier DirectAccess - gyaa | POS | 0SN2 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1104 | Preferred DirectAccess - gjba | PPO | 0SN7 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1105 | Preferred DirectAccess - ghfa | PPO | 0SNB | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1106 | Preferred DirectAccess-gkfa | PPO | 0SN5 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1107 | Preferred DirectAccess - gcga | PPO | 0SNE | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1108 | Preferred DirectAccess - gtga | PPO | 0SNG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1109 | Preferred DirectAccess - gyha | PPO | 0SNJ | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1110 | Preferred DirectAccess - gzha | PPO | 0SMY | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1111 | Preferred DirectAccess - gbia | PPO | 0SN0 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1112 | Preferred DirectAccess - gaaf (Pharm. Benefits may be used prior to meeting ded.) | PPO | 0SNU | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1113 | Preferred DirectAccess - gpqa | PPO | 0SNY | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1114 | Preferred DirectAccess - gqqa | PPO | 0SN6 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1115 | Preferred DirectAccess - grqa | PPO | 0SP7 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1116 | HealthKeepers Preferred Guided Access Plus w/Dental - gtoa | POS | 0VUA | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1117 | HealthKeepers Preferred Guided Access Plus - gtoa | POS | 0W2U | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1118 | HealthKeepers Preferred Guided Access Plus - gnbf | POS | 0SN4 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1119 | HealthKeepers Preferred DirectAccess - gjba | POS | 0SN8 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1120 | HealthKeepers Preferred DirectAccess - ghfa | POS | 0SNC | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1121 | HealthKeepers Preferred DirectAccess - gkfa | POS | 0SND | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1122 | HealthKeepers Preferred DirectAccess - gcga | POS | 0SNF | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1123 | HealthKeepers Preferred DirectAccess - gtga | POS | 0SNH | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1124 | HealthKeepers Preferred DirectAccess - gyha | POS | 0SMZ | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1125 | HealthKeepers Preferred DirectAccess - gzha | POS | 0SN3 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1126 | HealthKeepers Preferred DirectAccess - gbia | POS | 0SNK | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1127 | HealthKeepers Preferred DirectAccess - gaaf (Pharm benefits may be used prior to meeting ded.) | POS | 0SNV | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1128 | HealthKeepers Preferred DirectAccess - gpqa | POS | 0SNZ | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1129 | HealthKeepers Preferred DirectAccess - gqqa | POS | 0SP6 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1130 | HealthKeepers Preferred DirectAccess - grqa | POS | 0SP8 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1131 | Preferred DirectAccess w/HSA - gxqa (Emp.Contrib. $1,000) | PPO | 0SNW | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1132 | Preferred DirectAccess w/HRA - ggra (Emp.Contrib. $750) | PPO | 0SP0 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1133 | Preferred DirectAccess w/HRA - ghra (Emp.Contrib. $750) | PPO | 0SP2 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1134 | Preferred DirectAccess w/HRA - gmra (Emp.Contrib. $500) | PPO | 0SP4 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1135 | Preferred DirectAccess w/HSA - gtqa | PPO | 0SP9 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1136 | HealthKeepers Preferred Guided Access Plus w/HSA - gsab (Emp.Contrib.$750) | POS | 0W35 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1137 | HealthKeepers Preferred Guided Access Plus w/HSA - gvab (Emp.Contrib.$750) | POS | 0W36 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1138 | HealthKeepers Preferred Guided Access Plus w/HRA - gbbb (Emp.Contrib.$750) | POS | 0W37 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1139 | HealthKeepers Preferred DirectAccess w/HSA - gxqa (Emp.Contrib.$1,000) | POS | 0SNX | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1140 | HealthKeepers Preferred DirectAccess w/HRA - ggra (Emp.Contrib.$750) | POS | 0SP1 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1141 | HealthKeepers Preferred DirectAccess w/HRA - ghra (Emp.Contrib.$750) | POS | 0SP3 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1142 | HealthKeepers Preferred DirectAccess w/HRA - gmra (Emp.Contrib.$500) | POS | 0SP5 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Gold | 1143 | HealthKeepers Preferred DirectAccess w/HSA - gtqa | POS | 0SPA | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1144 | Essential DirectAccess - gvia | PPO | 0SNL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1145 | Essential DirectAccess - ghia | PPO | 0SNN | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1146 | HealthKeepers Essential - Guided Access Plus - gyoa | POS | 0W2V | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1147 | HealthKeepers Essential - Guided Access Plus - gbpa | POS | 0W2W | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1148 | HealthKeepers Essential - Guided Access Plus w/Dental- gcpa | POS | 0VUB | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1149 | HealthKeepers Essential - Guided Access Plus - gcpa | POS | 0W2X | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1150 | HealthKeepers Essential - Guided Access Plus - gobf | POS | 0W2Y | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1151 | HealthKeepers Essential DirectAccess - ghia | POS | 0SNP | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1152 | HealthKeepers Essential DirectAccess - gvia | POS | 0SNM | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1153 | Essential DirectAccess w/HSA - gjsa | PPO | 0SPB | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1154 | Essential DirectAccess w/HSA - gpsa | PPO | 0SPD | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1155 | Essential DirectAccess w/HRA - ggta (Emp.Contrib. $750) | PPO | 0SPF | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1156 | Essential DirectAccess w/HSA - gjta | PPO | 0SPH | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1157 | Essential DirectAccess w/HSA - gkta | PPO | 0SPK | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1158 | Essential DirectAccess w/HSA - gdsa | PPO | 0SPM | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1159 | HealthKeepers Essential - Guided Access Plus w/HSA - gzeb | POS | 0W33 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1160 | HealthKeepers Essential - Guided Access Plus w/HSA - gqeb | POS | 0W34 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1161 | HealthKeepers Essential - Guided Access Plus w/HSA - gybb | POS | 0W38 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1162 | HealthKeepers Essential - Guided Access Plus w/HRA - gpcb (Emp. Contrib. $750) | POS | 0W39 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1163 | HealthKeepers Essential DirectAccess w/HSA - gjsa | POS | 0SPC | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1164 | HealthKeepers Essential DirectAccess w/HSA - gpsa | POS | 0SPE | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1165 | HealthKeepers Essential DirectAccess w/HRA - gpsa (Emp. Contrib. $750) | POS | 0SPG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1166 | HealthKeepers Essential DirectAccess w/HSA - gjta | POS | 0SPJ | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1167 | HealthKeepers Essential DirectAccess w/HSA - gkta | POS | 0SPL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Silver | 1168 | HealthKeepers Essential DirectAccess w/HSA - gdsa | POS | 0SN1 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Bronze | 1169 | Healthkeepers Core Guided Access Plus - gznb | POS | 0YQJ | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Bronze | 1170 | Healthkeepers Core Guided Access Plus - gwnb | POS | 0W2S | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Bronze | 1171 | Core DirectAccess w/HSA - gmua | PPO | 0SNS | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Bronze | 1172 | Core DirectAccess w/HSA - gyua | PPO | 0SNQ | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Bronze | 1173 | HealthKeepers Core DirectAccess Plus w/HSA - gmua | POS | 0SNT | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Bronze | 1174 | HealthKeepers Core DirectAccess Plus w/HSA - gyua | POS | 0SNR | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Bronze | 1175 | HealthKeepers Core Guided Access Plus w/HSA - ggdb | POS | 0YQK | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Bronze | 1176 | HealthKeepers Core Guided Access Plus w/HSA - ghdb | POS | 0W30 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Bronze | 1177 | HealthKeepers Core Guided Access Plus w/HSA - gkdb | POS | 0W31 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Bronze | 1178 | HealthKeepers Core Guided Access Plus w/HSA w/Dental - gkdb | POS | 0VUC | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| VA | M | Bronze | 1179 | HealthKeepers Core Guided Access Plus w/HSA - grgb | POS | 0W32 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | ANT | |
| MD | M | Platinum | 1200 | KPSG MD Platinum 0/20/Dental(Select) | HMO | 1SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Platinum | 1201 | KPSG MD Platinum 0/20/Dental(Signature) | HMO | 1SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Platinum | 1202 | KPSG MD Platinum 500/20/Dental(Select) | HMO | 2SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Platinum | 1203 | KPSG MD Platinum 500/20/Dental(Signature) | HMO | 2SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Platinum | 1204 | KPSG MD Platinum 1250/10/HSA/HRA/Dental(Select) | HMO | 3SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Platinum | 1205 | KPSG MD Platinum 1250/10/HSA/HRA/Dental(Signature) | HMO | 3SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Gold | 1206 | KPSG MD Gold 0/30/Dental(Select) | HMO | 4SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Gold | 1207 | KPSG MD Gold 0/30/Dental(Signature) | HMO | 4SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Gold | 1208 | KPSG MD Gold 1000/30/Dental(Select) | HMO | 5SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Gold | 1209 | KPSG MD Gold 1000/30/Dental(Signature) | HMO | 5SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Gold | 1210 | KPSG MD Gold 1250/0%/HSA/Dental(Select) | HMO | 6SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Gold | 1211 | KPSG MD Gold 1250/0%/HSA/Dental(Signature) | HMO | 6SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Gold | 1212 | KPSG MD Gold 1500/30/HSA//HRA/Dental(Select) | HMO | 7SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Gold | 1213 | KPSG MD Gold 1500/30/HSA//HRA/Dental(Signature) | HMO | 7SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Silver | 1214 | KPSG MD Silver 1250/35/Dental(Select) | HMO | 8SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Silver | 1215 | KPSG MD Silver 1250/35/Dental(Signature) | HMO | 8SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Silver | 1216 | KPSG MD Silver 2000/35/Dental(Select) | HMO | 9SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Silver | 1217 | KPSG MD Silver 2000/35/Dental(Signature) | HMO | 9SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Silver | 1218 | KPSG MD Silver 1500/30/HSA/Dental(Select) | HMO | 10SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Silver | 1219 | KPSG MD Silver 1500/30/HSA/Dental(Signature) | HMO | 10SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Silver | 1220 | KPSG MD Silver 2500/30/HSA//HRA/Dental(Select) | HMO | 11SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Silver | 1221 | KPSG MD Silver 2500/30/HSA//HRA/Dental(Signature) | HMO | 11SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Bronze | 1222 | KPSG MD Bronze 3550/50/Dental/PedDental(Select) | HMO | 12SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Bronze | 1223 | KPSG MD Bronze 3550/50/Dental/PedDental(Signature) | HMO | 12SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Bronze | 1224 | KPSG MD Bronze 3150/20%/HSA/Dental/PedDental(Select) | HMO | 13SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Bronze | 1225 | KPSG MD Bronze 3150/20%/HSA/Dental/PedDental(Signature) | HMO | 13SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Bronze | 1226 | KPSG MD Bronze 2900/20/HSA/Dental/PedDental(Select) | HMO | 14SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Bronze | 1227 | KPSG MD Bronze 2900/20/HSA/Dental/PedDental(Signature) | HMO | 14SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Bronze | 1228 | KPSG MD Bronze 3550/50/POS/Dental/PedDental(Select) | POS | 15SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Bronze | 1229 | KPSG MD Bronze 3550/50/POS/Dental/PedDental(Signature) | POS | 15SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Platinum | 1230 | KPSG VA Platinum 0/20/Dental(Select) | HMO | 16SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Platinum | 1231 | KPSG VA Platinum 0/20/Dental(Signature) | HMO | 16SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Platinum | 1232 | KPSG VA Platinum 500/20/Dental(Select) | HMO | 17SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Platinum | 1233 | KPSG VA Platinum 500/20/Dental(Signature) | HMO | 17SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Platinum | 1234 | KPSG VA Platinum 1250/10/HSA/HRA/Dental(Select) | HMO | 18SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Platinum | 1235 | KPSG VA Platinum 1250/10/HSA/HRA/Dental(Signature) | HMO | 18SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Gold | 1236 | KPSG VA Gold 0/30/Dental(Select) | HMO | 19SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Gold | 1237 | KPSG VA Gold 0/30/Dental(Signature) | HMO | 19SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Gold | 1238 | KPSG VA Gold 1000/30/Dental(Select) | HMO | 20SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Gold | 1239 | KPSG VA Gold 1000/30/Dental(Signature) | HMO | 20SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Gold | 1240 | KPSG VA Gold 1250/0%/HSA/Dental(Select) | HMO | 21SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Gold | 1241 | KPSG VA Gold 1250/0%/HSA/Dental(Signature) | HMO | 21SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Gold | 1242 | KPSG VA Gold 1500/30/HSA/HRA/Dental(Select) | HMO | 22SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Gold | 1243 | KPSG VA Gold 1500/30/HSA/HRA/Dental(Signature) | HMO | 22SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Silver | 1244 | KPSG VA Silver 1250/35/Dental(Select) | HMO | 23SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Silver | 1245 | KPSG VA Silver 1250/35/Dental(Signature) | HMO | 23SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Silver | 1246 | KPSG VA Silver 2000/35/Dental(Select) | HMO | 24SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Silver | 1247 | KPSG VA Silver 2000/35/Dental(Signature) | HMO | 24SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Silver | 1248 | KPSG VA Silver 1500/30/HSA/Dental(Select) | HMO | 25SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Silver | 1249 | KPSG VA Silver 1500/30/HSA/Dental(Signature) | HMO | 25SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Silver | 1250 | KPSG VA Silver 2500/30/HSA/HRA/Dental(Select) | HMO | 26SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Silver | 1251 | KPSG VA Silver 2500/30/HSA/HRA/Dental(Signature) | HMO | 26SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Bronze | 1252 | KPSG VA Bronze 4500/50/Dental(Select) | HMO | 27SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Bronze | 1253 | KPSG VA Bronze 4500/50/Dental(Signature) | HMO | 27SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Bronze | 1254 | KPSG VA Bronze 3500/20%/HSA/Dental(Select) | HMO | 28SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Bronze | 1255 | KPSG VA Bronze 3500/20%/HSA/Dental(Signature) | HMO | 28SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Bronze | 1256 | KPSG VA Bronze 4500/20/HSA/Dental(Select) | HMO | 29SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Bronze | 1257 | KPSG VA Bronze 4500/20/HSA/Dental(Signature) | HMO | 29SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Gold | 1258 | KPSG VA Gold 0/30/POS/Dental(Select) | POS | 30SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Gold | 1259 | KPSG VA Gold 0/30/POS/Dental(Signature) | POS | 30SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Gold | 1260 | KPSG VA Gold 1000/30/POS/Dental(Select) | POS | 31SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Gold | 1261 | KPSG VA Gold 1000/30/POS/Dental(Signature) | POS | 31SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Silver | 1262 | KPSG VA Silver 2000/35/POS/Dental(Select) | POS | 32SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Silver | 1263 | KPSG VA Silver 2000/35/POS/Dental(Signature) | POS | 32SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Platinum | 1264 | KPSG DC Platinum 0/20/Dental(Select) | HMO | 94506DC0350016 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Platinum | 1265 | KPSG DC Platinum 0/20/Dental(Signature) | HMO | 94506DC0350001 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Platinum | 1266 | KPSG DC Platinum 500/20/Dental(Select) | HMO | 94506DC0350017 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Platinum | 1267 | KPSG DC Platinum 500/20/Dental(Signature) | HMO | 94506DC0350002 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Platinum | 1268 | KPSG DC Platinum 1250/10/HSA/HRA/Dental(Signature) | HMO | 35SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Gold | 1269 | KPSG DC Gold 0/30/Dental(Select) | HMO | 94506DC0350022 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Gold | 1270 | KPSG DC Gold 0/30/Dental(Signature) | HMO | 94506DC0350021 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Gold | 1271 | KPSG DC Gold 1000/30/Dental(Select) | HMO | 94506DC0350019 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Gold | 1272 | KPSG DC Gold 1000/30/Dental(Signature) | HMO | 94506DC0350005 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Gold | 1273 | KPSG DC Gold 1250/0%/HSA/Dental(Select) | HMO | 94506DC0350020 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Gold | 1274 | KPSG DC Gold 1250/0%/HSA/Dental(Signature) | HMO | 94506DC0350006 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Gold | 1275 | KPSG DC Gold 1500/30/HSA/HRA/Dental(Signature) | HMO | 40SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Silver | 1276 | KPSG DC Silver 1250/35/Dental(Signature) | HMO | 94506DC0350008 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Silver | 1277 | KPSG DC Silver 2000/35/Dental(Signature) | HMO | 94506DC0350009 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Silver | 1278 | KPSG DC Silver 1500/30/20%/HSA/Dental(Signature) | HMO | 94506DC0350010 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Silver | 1279 | KPSG DC Silver 2750/40/30%/HSA/HRA(Signature) | HMO | 45SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Bronze | 1280 | KPSG DC Bronze 4500/50/Dental(Signature) | HMO | 94506DC0350012 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Bronze | 1281 | KPSG DC Bronze 3500/20%/HSA/Dental(Signature) | HMO | 48SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Bronze | 1282 | KPSG DC Bronze 4500/20/HSA/Dental(Signature) | HMO | 49SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Bronze | 1283 | KPSG DC Bronze 4500/50/POS/Dental(Signature) | POS | 94506DC0360001 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Silver | 1284 | KPSG DC Silver 2000/35/POS/Dental(Signature) | POS | 94506DC0360002 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| DC | M | Gold | 1285 | KPSG DC Gold 1000/30/POS/Dental(Signature) | POS | 94506DC0360003 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Gold | 1286 | KPSG MD Gold 1000/30/POS/Dental(Select) | POS | 81SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Gold | 1287 | KPSG MD Gold 1000/30/POS/Dental(Signature) | POS | 81SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Silver | 1288 | KPSG MD Silver 2000/35/POS/Dental(Select) | POS | 82SEL | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| MD | M | Silver | 1289 | KPSG MD Silver 2000/35/POS/Dental(Signature) | POS | 82SIG | ? |
Benefits
| 1/1/2014 | 12/31/2014 | KAI | |
| VA | M | Gold | 1300 | VA Gold HMO 500A | HMO | 14023046 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Gold | 1301 | VA Gold HMO 80% | HMO | 14023048 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Gold | 1302 | VA Gold HMO 1000 100% | HMO | 14023050 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1303 | VA Silver HMO 2000 100% | HMO | 14023052 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1304 | VA Silver HMO 2000 80% | HMO | 14023054 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1305 | VA Silver HMO 2000 60% | HMO | 14023056 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Gold | 1306 | VA Gold HNOnly 500A | HMO | 14023058 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Gold | 1307 | VA Gold HNOnly 80% | HMO | 14023060 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Gold | 1308 | VA Gold HNOnly 1000 100% | HMO | 14023062 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1309 | VA Silver HNOnly 2000 100% | HMO | 14023064 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1310 | VA Silver HNOnly 2000 80% | HMO | 14023066 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1311 | VA Silver HNOnly 2000 60% | HMO | 14023068 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1312 | VA Silver HNOnly 2000 100% HSA | HMO | 14023070 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1313 | VA Silver HNOnly 2000 90% HSA | HMO | 14023072 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Bronze | 1314 | VA Bronze HNOnly 2800 HSA | HMO | 14023074 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Bronze | 1315 | VA Bronze HNOnly 4500 100% HSA | HMO | 14023076 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Gold | 1316 | VA Gold PPO 100/50 500A | PPO | 14023078 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Gold | 1317 | VA Gold PPO 80/50 | PPO | 14023080 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Gold | 1318 | VA Gold PPO 1000 100/50 | PPO | 14023082 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1319 | VA Silver PPO 2000 100/50 | PPO | 14023084 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1320 | VA Silver PPO 2000 80/50 | PPO | 14023086 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1321 | VA Silver PPO 2000 60/50 | PPO | 14023088 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1322 | VA Silver PPO 2000 100/50 HSA | PPO | 14023090 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1323 | VA Silver PPO 2000 90/50 HSA | PPO | 14023092 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Bronze | 1324 | VA Bronze PPO 2800 HSA | PPO | 14023094 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Bronze | 1325 | VA Bronze PPO 4500 100/50 HSA | PPO | 14023096 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Silver | 1326 | MD Silver OAMC 2000 70% | POS | 14023993 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Gold | 1327 | MD Gold OAMC 2000 70% | POS | 14023994 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Silver | 1328 | MD Silver HMO 2000 70% S1 | HMO | 14023995 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Gold | 1329 | MD Gold HMO 2000 70% S1 | HMO | 14023996 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Silver | 1330 | MD Silver Indemnity 2000 80% | IND | 14023999 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Bronze | 1331 | MD Bronze PPO 4450 100/80 HSA | PPO | 14024000 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Bronze | 1332 | MD Bronze PPO 3450 HSA | PPO | 14024001 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Silver | 1333 | MD Silver PPO 2000 100/80 HSA | PPO | 14024002 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Silver | 1334 | MD Silver PPO 1500 80/60 HSA | PPO | 14024003 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Silver | 1335 | MD Silver PPO 2000 60/50 | PPO | 14024004 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Silver | 1336 | MD Silver PPO 1500 60/50 | PPO | 14024005 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Silver | 1337 | MD Silver PPO 2000 70/50 | PPO | 14024006 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Silver | 1338 | MD Silver PPO 1500 70/50 | PPO | 14024007 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Silver | 1339 | MD Silver PPO 1200 70/50 | PPO | 14024008 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Gold | 1340 | MD Gold PPO 1000 70/50 | PPO | 14024009 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Gold | 1341 | MD Gold PPO 80/60 | PPO | 14024010 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Gold | 1342 | MD Gold PPO 100/80 500A | PPO | 14024011 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Bronze | 1343 | MD Bronze HNOnly 4450 100% HSA | HMO | 14024012 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Bronze | 1344 | MD Bronze HNOnly 3450 HSA | HMO | 14024013 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Silver | 1345 | MD Silver HNOnly 2000 100% HSA | HMO | 14024014 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Silver | 1346 | MD Silver HNOnly 1500 80% HSA | HMO | 14024015 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Silver | 1347 | MD Silver HNOnly 2000 70% | HMO | 14024016 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Silver | 1348 | MD Silver HNOnly 1500 70% | HMO | 14024017 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Silver | 1349 | MD Silver HNOnly 1200 70% | HMO | 14024018 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Gold | 1350 | MD Gold HNOnly 1000 70% | HMO | 14024019 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Gold | 1351 | MD Gold HNOnly 80% | HMO | 14024020 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Gold | 1352 | MD Gold HNOnly 500A | HMO | 14024021 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Silver | 1353 | MD Silver HMO 2000 70% | HMO | 14024022 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Silver | 1354 | MD Silver HMO 1500 70% | HMO | 14024023 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Silver | 1355 | MD Silver HMO 1200 70% | HMO | 14024024 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Gold | 1356 | MD Gold HMO 1000 70% | HMO | 14024025 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Gold | 1357 | MD Gold HMO 80% | HMO | 14024026 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Gold | 1358 | MD Gold HMO 500A | HMO | 14024027 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Bronze | 1359 | MD Bronze OAMC 3450 HSA | POS | 14024062 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Bronze | 1360 | MD Bronze HMO 3450 HSA S1 | HMO | 14024064 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Gold | 1361 | MD Gold HMO 2000 70% S2 | HMO | 14023998 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Silver | 1362 | MD Silver HMO 2000 70% S2 | HMO | 14023997 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| MD | M | Bronze | 1363 | MD Bronze HMO 3450 HSA S2 | HMO | 14024066 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| DC | M | Bronze | 1364 | DC Bronze HMO 6350 | HMO | 14023819 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| DC | M | Bronze | 1365 | DC Bronze OAMC 6350 | POS | 14023822 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| DC | M | Gold | 1366 | DC Gold HMO 2000 70% | HMO | 14023825 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| DC | M | Gold | 1367 | DC Gold HMO 70% | HMO | 14023828 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| DC | M | Gold | 1368 | DC Gold HMO 90% | HMO | 14023832 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| DC | M | Gold | 1369 | DC Gold HNOnly 70% | HMO | 14023836 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| DC | M | Gold | 1370 | DC Gold HNOnly 90% | HMO | 14023840 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| DC | M | Gold | 1371 | DC Gold OAMC 2000 70% | POS | 14023843 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| DC | M | Gold | 1372 | DC Gold OAMC 70/50 | POS | 14023846 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| DC | M | Gold | 1373 | DC Gold OAMC 90/50 | POS | 14023850 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| DC | M | Silver | 1374 | DC Silver HMO 5000 70% | HMO | 14023854 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| DC | M | Silver | 1375 | DC Silver HNOnly 2000 90% HSA | HMO | 14023857 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| DC | M | Silver | 1376 | DC Silver OAMC 2000 90/50 HSA | POS | 14023861 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| DC | M | Silver | 1377 | DC Silver OAMC 5000 70% | POS | 14023865 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Gold | 1378 | VA Innovation Health Gold HMO 500A | HMO | 14023100 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Gold | 1379 | VA Innovation Health Gold HMO 80% | HMO | 14023102 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Gold | 1380 | VA Innovation Health Gold HMO 1000 100% | HMO | 14023104 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1381 | VA Innovation Health Silver HMO 2000 100% | HMO | 14023106 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1382 | VA Innovation Health Silver HMO 2000 80% | HMO | 14023108 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1383 | VA Innovation Health Silver HMO 2000 60% | HMO | 14023110 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Gold | 1384 | VA Innovation Health Gold Open HMO 500A | HMO | 14023112 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Gold | 1385 | VA Innovation Health Gold Open HMO 80% | HMO | 14023114 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Gold | 1386 | VA Innovation Health Gold Open HMO 1000 100% | HMO | 14023116 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1387 | VA Innovation Health Silver Open HMO 2000 100% | HMO | 14023118 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1388 | VA Innovation Health Silver Open HMO 2000 80% | HMO | 14023120 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1389 | VA Innovation Health Silver Open HMO 2000 60% | HMO | 14023122 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1390 | VA Innovation Health Silver Open HMO 2000 100% HSA | HMO | 14023124 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1391 | VA Innovation Health Silver Open HMO 2000 90% HSA | HMO | 14023126 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Bronze | 1392 | VA Innovation Health Bronze Open HMO 2800 HSA | HMO | 14023128 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Bronze | 1393 | VA Innovation Health Bronze Open HMO 4500 100% HSA | HMO | 14023130 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Gold | 1394 | VA Innovation Health Gold PPO 100/50 500A | PPO | 14023132 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Gold | 1395 | VA Innovation Health Gold PPO 80/50 | PPO | 14023134 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Gold | 1396 | VA Innovation Health Gold PPO 1000 100/50 | PPO | 14023136 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1397 | VA Innovation Health Silver PPO 2000 100/50 | PPO | 14023138 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1400 | VA Innovation Health Silver PPO 2000 100/50 HSA | PPO | 14023143 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1401 | VA Innovation Health Silver PPO 2000 90/50 HSA | PPO | 14023145 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Bronze | 1402 | VA Innovation Health Bronze PPO 2800 HSA | PPO | 14023147 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Bronze | 1403 | VA Innovation Health Bronze PPO 4500 100/50 HSA | PPO | 14023149 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1404 | VA Innovation Health Silver Indemnity 2000 80% | XXX | 14023151 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1405 | VA Innovation Health Silver PPO 2000 60/50 | PPO | 14023141 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| VA | M | Silver | 1406 | VA Innovation Health Silver PPO 2000 80/50 | PPO | 14023139 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | AET | |
| AA | V | None | 1450 | Vision Preferred Basic (12 Month Frames) | VIS | 1450 | N/A |
Benefits
| 7/1/2017 | 6/30/2018 | AET | |
| AA | V | None | 1451 | Vision Preferred Basic (24 Months Frames) | VIS | 1451 | N/A |
Benefits
| 7/1/2017 | 6/30/2018 | AET | |
| AA | V | None | 1452 | Vision Preferred Plus (12 Months Frames) | VIS | 1452 | N/A |
Benefits
| 7/1/2017 | 6/30/2018 | AET | |
| AA | V | None | 1453 | Vision Preferred Plus (24 Months Frames) | VIS | 1453 | N/A |
Benefits
| 7/1/2017 | 6/30/2018 | AET | |
| AA | V | None | 1454 | Vision Preferred Premier (12 Months Frames) | VIS | 1454 | N/A |
Benefits
| 7/1/2017 | 6/30/2018 | AET | |
| AA | V | None | 1455 | Vision Preferred Premier (24 Months Frames) | VIS | 1455 | N/A |
Benefits
| 7/1/2017 | 6/30/2018 | AET | |
| VA | M | Silver | 3000 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100008511 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3001 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $1,500 | POS | 100008512 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3002 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100008513 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3003 | BlueChoice Advantage HSA Compatible Silver Plan - $1,500 | POS | 100008514 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3004 | BlueChoice Advantage 80%/50% Platinum Plan | POS | 100008515 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3005 | BlueChoice Advantage 100%/70% Platinum Plan | POS | 100008516 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3006 | BlueChoice Advantage 90%/70% Platinum Plan - SE | POS | 100008517 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3007 | BlueChoice HMO $20/$30 Platinum Plan | HMO | 100008519 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3008 | BlueChoice HMO $30/$40 Platinum Plan | HMO | 100008520 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 3009 | BlueChoice HMO Referral HRA Integrated BlueFund Bronze Plan - $4,000 SE | HMO | 100008522 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 3010 | BlueChoice HMO Referral HRA Integrated Compatible Bronze Plan - $4,000 SE | HMO | 100008523 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 3011 | BlueChoice HMO Referral HSA BlueFund Bronze Plan - $4,000 SE | HMO | 100008524 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 3012 | BlueChoice HMO Referral HSA Compatible Bronze Plan - $4,000 SE | HMO | 100008525 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3013 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 SE | HMO | 100008527 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3014 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 SE | HMO | 100008528 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3015 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 SE | HMO | 100008529 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3016 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 SE | HMO | 100008530 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3017 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100008532 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3018 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100008533 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3019 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100008534 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3020 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 | HMO | 100008535 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3021 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,500 | HMO | 100008537 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3022 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,500 | HMO | 100008538 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3023 | BlueChoice HMO HSA BlueFund Gold Plan - $1,500 | HMO | 100008539 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3024 | BlueChoice HMO HSA Compatible Gold Plan - $1,500 | HMO | 100008540 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3025 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 SE | HMO | 100008542 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3026 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 SE | HMO | 100008543 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3027 | BlueChoice HMO HDHP Gold Plan - $1,000 SE | HMO | 100008544 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3028 | BlueChoice HMO Referral $10/$20 Platinum Plan | HMO | 100008546 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3029 | BlueChoice HMO Referral $20/$30 Platinum Plan | HMO | 100008547 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3030 | BlueChoice HMO Referral $30/$40 Platinum Plan | HMO | 100008548 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3031 | BlueChoice HMO HDHP Gold Plan - $1,800 | HMO | 100008549 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3032 | BlueChoice HMO HRA Non-Integrated Compatible Gold Plan - $1,800 | HMO | 100008550 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3033 | BlueChoice HMO HRA Non-Integrated BlueFund Gold Plan - $1,800 | HMO | 100008551 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 3034 | BluePreferred HRA Integrated BlueFund Bronze Plan - $4,000 SE | PPO | 100008553 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 3035 | BluePreferred HRA Integrated Compatible Bronze Plan - $4,000 SE | PPO | 100008554 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 3036 | BluePreferred HSA BlueFund Bronze Plan - $4,000 SE | PPO | 100008555 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 3037 | BluePreferred HSA Compatible Bronze Plan - $4,000 SE | PPO | 100008556 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 3038 | BluePreferred HRA Integrated BlueFund Bronze Plan - $4,500 | PPO | 100008558 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 3039 | BluePreferred HRA Integrated Compatible Bronze Plan - $4,500 | PPO | 100008559 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 3040 | BluePreferred HSA BlueFund Bronze Plan - $4,500 | PPO | 100008560 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 3041 | BluePreferred HSA Compatible Bronze Plan - $4,500 | PPO | 100008561 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3042 | BluePreferred HRA Integrated BlueFund Silver Plan - $2,000 SE | PPO | 100008563 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3043 | BluePreferred HRA Integrated Compatible Silver Plan - $2,000 SE | PPO | 100008564 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3044 | BluePreferred HSA BlueFund Silver Plan - $2,000 SE | PPO | 100008565 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3045 | BluePreferred HSA Compatible Silver Plan - $2,000 SE | PPO | 100008566 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3046 | BluePreferred HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100008568 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3047 | BluePreferred HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100008569 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3048 | BluePreferred HSA BlueFund Silver Plan - $2,000 | PPO | 100008570 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3049 | BluePreferred HSA Compatible Silver Plan - $2,000 | PPO | 100008571 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3050 | BluePreferred HRA Integrated BlueFund Gold Plan - $1,400 | PPO | 100008573 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3051 | BluePreferred HRA Integrated Compatible Gold Plan - $1,400 | PPO | 100008574 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3052 | BluePreferred HSA BlueFund Gold Plan - $1,400 | PPO | 100008575 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3053 | BluePreferred HSA Compatible Gold Plan - $1,400 | PPO | 100008576 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3054 | BluePreferred HRA Integrated BlueFund Gold Plan - $1,000 SE | PPO | 100008579 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3055 | BluePreferred HRA Integrated Compatible Gold Plan - $1,000 SE | PPO | 100008580 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3056 | BluePreferred HDHP Gold Plan - $1,000 SE | PPO | 100008581 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 3057 | BluePreferred HDHP Bronze Plan - $4,500 | PPO | 100008582 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 3058 | BluePreferred HRA Non-Integrated Compatible Bronze Plan - $4,500 | PPO | 100008583 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 3059 | BluePreferred HRA Non-Integrated BlueFund Bronze Plan - $4,500 | PPO | 100008584 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3060 | BluePreferred HDHP Gold Plan - $2,000 | PPO | 100008585 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3061 | BluePreferred HRA Non-Integrated Compatible Gold Plan - $2,000 | PPO | 100008586 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3062 | BluePreferred HRA Non-Integrated BlueFund Gold Plan - $2,000 | PPO | 100008587 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3063 | BluePreferred HDHP Gold Plan - $1,200 | PPO | 100008588 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3064 | BluePreferred HRA Non-Integrated Compatible Gold Plan - $1,200 | PPO | 100008589 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3065 | BluePreferred HRA Non-Integrated BlueFund Gold Plan - $1,200 | PPO | 100008590 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3066 | BluePreferred 100%/80% HDHP Gold Plan $1,000 | PPO | 100008591 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3067 | BluePreferred 100%/80% HRA Non-Integrated Compatible Gold Plan $1,000 | PPO | 100008592 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3068 | BluePreferred 100%/80% HRA Non-Integrated BlueFund Gold Plan $1,000 | PPO | 100008593 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3069 | BluePreferred 80%/60% HDHP Gold Plan $1,000 | PPO | 100008594 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3070 | BluePreferred 80%/60% HRA Non-Integrated Compatible Gold Plan $1,000 | PPO | 100008595 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3071 | BluePreferred 80%/60% HRA Non-Integrated BlueFund Gold Plan $1,000 | PPO | 100008596 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3072 | BluePreferred Platinum Plan - $500 | PPO | 100008597 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3073 | BluePreferred 100%/80% Platinum Plan SE | PPO | 100008598 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3074 | BluePreferred 100%/80% Platinum Plan | PPO | 100008600 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3075 | BlueChoice Plus 100%/80% Platinum Plan - $20/$30 | POS | 100008601 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3076 | BlueChoice Plus 100%/60% Platinum Plan - $20/$30 | POS | 100008602 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 3077 | BlueChoice Plus HRA Integrated BlueFund Bronze Plan - $3,500 | POS | 100008603 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 3078 | BlueChoice Plus HRA Integrated Compatible Bronze Plan - $3,500 | POS | 100008604 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 3079 | BlueChoice Plus HSA BlueFund Bronze Plan - $3,500 | POS | 100008605 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 3080 | BlueChoice Plus HSA Compatible Bronze Plan - $3,500 | POS | 100008606 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3081 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100008608 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3082 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $1,500 | POS | 100008609 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3083 | BlueChoice Plus HSA BlueFund Silver Plan - $1,500 | POS | 100008610 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3084 | BlueChoice Plus HSA Compatible Silver Plan - $1,500 | POS | 100008611 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3085 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100008613 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3086 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100008614 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3087 | BlueChoice Plus HSA BlueFund Silver Plan - $2,000 | POS | 100008615 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3088 | BlueChoice Plus HSA Compatible Silver Plan - $2,000 | POS | 100008616 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3089 | BlueChoice Plus HDHP Silver Plan - $2,000 | POS | 100008618 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3090 | BlueChoice Plus HRA Non-Integrated Compatible Silver Plan - $2,000 | POS | 100008619 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3091 | BlueChoice Plus HRA Non-Integrated BlueFund Silver Plan - $2,000 | POS | 100008620 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3092 | BlueChoice Plus 100%/80% Platinum Plan - $10/$20 | POS | 100008621 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3093 | HealthyBlue Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100008622 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3094 | HealthyBlue Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100008623 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3095 | HealthyBlue Plus HSA BlueFund Silver Plan - $2,000 | POS | 100008624 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3096 | HealthyBlue Plus HSA Compatible Silver Plan - $2,000 | POS | 100008625 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3097 | HealthyBlue Plus HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100008627 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3098 | HealthyBlue Plus HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100008628 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3099 | HealthyBlue Plus HDHP Gold Plan - $1,500 | POS | 100008629 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3100 | HealthyBlue Plus Platinum Plan - $300 | POS | 100008630 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3101 | HealthyBlue Plus Platinum Plan - $600 | POS | 100008631 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3102 | HealthyBlue Advantage HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100008632 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3103 | HealthyBlue Advantage HRA Integrated Compatible Silver Plan - $2,000 | POS | 100008633 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3104 | HealthyBlue Advantage HSA BlueFund Silver Plan - $2,000 | POS | 100008634 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3105 | HealthyBlue Advantage HSA Compatible Silver Plan - $2,000 | POS | 100008635 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3106 | HealthyBlue Advantage HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100008637 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3107 | HealthyBlue Advantage HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100008638 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3108 | HealthyBlue Advantage HDHP Gold Plan - $1,500 | POS | 100008639 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3109 | HealthyBlue Advantage Platinum Plan - $300 | POS | 100008640 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3110 | HealthyBlue Advantage Platinum Plan - $600 | POS | 100008641 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3111 | HealthyBlue HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100008642 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3112 | HealthyBlue HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100008643 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3113 | HealthyBlue HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100008644 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3114 | HealthyBlue HMO HSA Compatible Silver Plan - $2,000 | HMO | 100008645 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3115 | HealthyBlue HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100008647 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3116 | HealthyBlue HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100008648 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3117 | HealthyBlue HMO HDHP Gold Plan - $1,500 | HMO | 100008649 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3118 | HealthyBlue HMO Platinum Plan - $300 | HMO | 100008650 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3119 | HealthyBlue HMO Platinum Plan - $600 | HMO | 100008651 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3120 | HealthyBlue PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100008652 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3121 | HealthyBlue PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100008653 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3122 | HealthyBlue PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100008654 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 3123 | HealthyBlue PPO HSA Compatible Silver Plan - $2,000 | PPO | 100008655 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3124 | HealthyBlue PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100008657 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3125 | HealthyBlue PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100008658 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 3126 | HealthyBlue PPO HDHP Gold Plan - $1,500 | PPO | 100008659 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3127 | HealthyBlue PPO Platinum Plan - $300 | PPO | 100008660 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 3128 | HealthyBlue PPO Platinum Plan - $600 | PPO | 100008661 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3129 | BlueChoice Advantage HSA Compatible Silver Plan - $1,500 | POS | 100008694 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3130 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100008695 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3131 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $1,500 | POS | 100008696 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3132 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100008697 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3133 | BlueChoice Advantage HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100008700 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3134 | BlueChoice Advantage HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100008701 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3135 | BlueChoice Advantage 80%/50% Platinum Plan | POS | 100008703 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3136 | BlueChoice Advantage 100%/70% Platinum Plan | POS | 100008704 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3137 | BlueChoice Advantage 90%/70% Platinum Plan - SE | POS | 100008705 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3138 | BlueChoice HMO Gold Plan - $250 | HMO | 100008709 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3139 | BlueChoice HMO $30/$40 Platinum Plan | HMO | 100008711 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Bronze | 3140 | BlueChoice HMO Referral HSA BlueFund Bronze Plan - $4,000 SE | HMO | 100008714 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Bronze | 3141 | BlueChoice HMO Referral HRA Integrated Compatible Bronze Plan - $4,000 SE | HMO | 100008715 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Bronze | 3142 | BlueChoice HMO Referral HRA Integrated BlueFund Bronze Plan - $4,000 SE | HMO | 100008716 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3143 | BlueChoice HMO HSA Compatible Silver Plan - $2,000/80% SE | HMO | 100008719 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3144 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000/80% SE | HMO | 100008720 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3145 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000/80% SE | HMO | 100008721 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3146 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000/80% SE | HMO | 100008722 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3147 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 | HMO | 100008724 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3148 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100008725 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3149 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100008726 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3150 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100008727 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3151 | BlueChoice HMO HSA Compatible Gold Plan - $1,500 | HMO | 100008730 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3152 | BlueChoice HMO HSA BlueFund Gold Plan - $1,500 | HMO | 100008731 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3153 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,500 | HMO | 100008732 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3154 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,500 | HMO | 100008733 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3155 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 SE | HMO | 100008736 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3156 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 SE | HMO | 100008737 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3157 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 100008738 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3158 | BlueChoice HMO Referral $10/$20 Platinum Plan | HMO | 100008740 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3159 | BlueChoice HMO Referral $30/$40 Platinum Plan | HMO | 100008741 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3160 | BlueChoice HMO HRA Non-Integrated Compatible Gold Plan - $1,800 | HMO | 100008745 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3161 | BlueChoice HMO HRA Non-Integrated BlueFund Gold Plan - $1,800 | HMO | 100008746 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Bronze | 3162 | BluePreferred HSA Compatible Bronze Plan - $4,000 SE | PPO | 100008750 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Bronze | 3163 | BluePreferred HSA BlueFund Bronze Plan - $4,000 SE | PPO | 100008751 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Bronze | 3164 | BluePreferred HRA Integrated Compatible Bronze Plan - $4,000 SE | PPO | 100008752 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Bronze | 3165 | BluePreferred HRA Integrated BlueFund Bronze Plan - $4,000 SE | PPO | 100008753 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Bronze | 3166 | BluePreferred HSA Compatible Bronze Plan - $4,500 | PPO | 100008755 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Bronze | 3167 | BluePreferred HSA BlueFund Bronze Plan - $4,500 | PPO | 100008756 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Bronze | 3168 | BluePreferred HRA Integrated Compatible Bronze Plan - $4,500 | PPO | 100008757 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Bronze | 3169 | BluePreferred HRA Integrated BlueFund Bronze Plan - $4,500 | PPO | 100008758 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3170 | BluePreferred HSA Compatible Silver Plan - $2,000 SE | PPO | 100008762 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3171 | BluePreferred HSA BlueFund Silver Plan - $2,000 SE | PPO | 100008763 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3172 | BluePreferred HRA Integrated Compatible Silver Plan - $2,000 SE | PPO | 100008764 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3173 | BluePreferred HRA Integrated BlueFund Silver Plan - $2,000 SE | PPO | 100008765 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3174 | BluePreferred HSA Compatible Silver Plan - $1,800 | PPO | 100008767 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3175 | BluePreferred HSA BlueFund Silver Plan - $1,800 | PPO | 100008768 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3176 | BluePreferred HRA Integrated Compatible Silver Plan - $1,800 | PPO | 100008769 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3177 | BluePreferred HRA Integrated BlueFund Silver Plan - $1,800 | PPO | 100008770 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3178 | BluePreferred HSA 100%/80% Compatible Silver Plan - $2,000 | PPO | 100008773 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3179 | BluePreferred HSA 100%/80% BlueFund Silver Plan - $2,000 | PPO | 100008774 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3180 | BluePreferred HRA Integrated 100%/80% Compatible Silver Plan - $2,000 | PPO | 100008775 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3181 | BluePreferred HRA Integrated 100%/80%BlueFund Silver Plan - $2,000 | PPO | 100008776 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3182 | BluePreferred HSA Compatible Gold Plan - $1,400 | PPO | 100008779 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3183 | BluePreferred HSA BlueFund Gold Plan - $1,400 | PPO | 100008780 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3184 | BluePreferred HRA Integrated Compatible Gold Plan - $1,400 | PPO | 100008781 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3185 | BluePreferred HRA Integrated BlueFund Gold Plan - $1,400 | PPO | 100008782 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3186 | BluePreferred HRA Integrated Compatible Gold Plan - $1,000 SE | PPO | 100008786 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3187 | BluePreferred HRA Integrated BlueFund Gold Plan - $1,000 SE | PPO | 100008787 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3188 | BluePreferred HRA Non-Integrated Compatible Gold Plan - $2,000 | PPO | 100008789 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3189 | BluePreferred HRA Non-Integrated BlueFund Gold Plan - $2,000 | PPO | 100008790 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3190 | BluePreferred HRA Non-Integrated Compatible Gold Plan - $1,200 | PPO | 100008793 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3191 | BluePreferred HRA Non-Integrated BlueFund Gold Plan - $1,200 | PPO | 100008794 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3192 | BluePreferred 100%/80% HRA Non-Integrated Compatible Gold Plan $1,000 | PPO | 100008797 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3193 | BluePreferred 100%/80% HRA Non-Integrated BlueFund Gold Plan $1,000 | PPO | 100008798 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3194 | BluePreferred 80%/60% HRA Non-Integrated Compatible Gold Plan $1,000 | PPO | 100008800 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3195 | BluePreferred 80%/60% HRA Non-Integrated BlueFund Gold Plan $1,000 | PPO | 100008801 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3196 | BluePreferred Platinum Plan - $500 | PPO | 100008804 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3197 | BluePreferred 100%/80% Platinum Plan | PPO | 100008806 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3198 | BluePreferred 100%/80% Platinum Plan - SE | PPO | 100008809 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3199 | BlueChoice Plus 100%/80% Platinum Plan - $20/$30 | POS | 100008810 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3200 | BlueChoice Plus 100%/60% Platinum Plan - $20/$30 | POS | 100008811 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Bronze | 3201 | BlueChoice Plus HSA Compatible Bronze Plan - $3,500 | POS | 100008813 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Bronze | 3202 | BlueChoice Plus HSA BlueFund Bronze Plan - $3,500 | POS | 100008814 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Bronze | 3203 | BlueChoice Plus HRA Integrated Compatible Bronze Plan - $3,500 | POS | 100008815 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Bronze | 3204 | BlueChoice Plus HRA Integrated BlueFund Bronze Plan - $3,500 | POS | 100008816 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3205 | BlueChoice Plus HSA Compatible Silver Plan - $1,500 | POS | 100008819 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3206 | BlueChoice Plus HSA BlueFund Silver Plan - $1,500 | POS | 100008820 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3207 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $1,500 | POS | 100008821 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3208 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100008822 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3209 | BlueChoice Plus HSA Compatible Silver Plan - $2,000 | POS | 100008824 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3210 | BlueChoice Plus HSA BlueFund Silver Plan - $2,000 | POS | 100008825 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3211 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100008826 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3212 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100008827 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3213 | BlueChoice Plus HRA Non-Integrated Compatible Silver Plan - $2,000 | POS | 100008831 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3214 | BlueChoice Plus HRA Non-Integrated BlueFund Silver Plan - $2,000 | POS | 100008832 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3215 | BlueChoice Plus 100%/80% Platinum Plan - $10/$20 | POS | 100008834 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3216 | HealthyBlue Plus HSA Compatible Silver Plan - $2,000 | POS | 100008839 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3217 | HealthyBlue Plus HSA BlueFund Silver Plan - $2,000 | POS | 100008840 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3218 | HealthyBlue Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100008841 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3219 | HealthyBlue Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100008842 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3220 | HealthyBlue Plus HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100008844 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3221 | HealthyBlue Plus HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100008845 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3222 | HealthyBlue Plus Platinum Plan - $300 | POS | 100008848 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3223 | HealthyBlue Plus Platinum Plan - $600 | POS | 100008850 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3224 | HealthyBlue Advantage HSA Compatible Silver Plan - $2,000 | POS | 100008853 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3225 | HealthyBlue Advantage HSA BlueFund Silver Plan - $2,000 | POS | 100008854 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3226 | HealthyBlue Advantage HRA Integrated Compatible Silver Plan - $2,000 | POS | 100008855 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3227 | HealthyBlue Advantage HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100008856 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3228 | HealthyBlue Advantage HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100008858 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3229 | HealthyBlue Advantage HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100008859 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3230 | HealthyBlue Advantage Platinum Plan - $300 | POS | 100008862 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3231 | HealthyBlue Advantage Platinum Plan - $600 | POS | 100008864 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3232 | HealthyBlue HMO HSA Compatible Silver Plan - $2,000 | HMO | 100008867 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3233 | HealthyBlue HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100008868 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3234 | HealthyBlue HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100008869 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3235 | HealthyBlue HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100008870 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3236 | HealthyBlue HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100008872 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3237 | HealthyBlue HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100008873 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3238 | HealthyBlue HMO Platinum Plan - $300 | HMO | 100008876 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3239 | HealthyBlue HMO Platinum Plan - $600 | HMO | 100008878 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3240 | HealthyBlue PPO HSA Compatible Silver Plan - $2,000 | PPO | 100008881 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3241 | HealthyBlue PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100008882 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3242 | HealthyBlue PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100008883 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Silver | 3243 | HealthyBlue PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100008884 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3244 | HealthyBlue PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100008886 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Gold | 3245 | HealthyBlue PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100008887 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3246 | HealthyBlue PPO Platinum Plan - $300 | PPO | 100008890 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Platinum | 3247 | HealthyBlue PPO Platinum Plan - $600 | PPO | 100008892 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Bronze | 3248 | BluePreferred HRA Non-Integrated Compatible Bronze Plan - $4,500 | PPO | 100008897 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Bronze | 3249 | BluePreferred HRA Non-Integrated BlueFund Bronze Plan - $4,500 | PPO | 100008898 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| DC | M | Bronze | 3250 | BlueChoice HMO Referral HSA Compatible Bronze Plan - $4,000 SE | HMO | 100008923 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3251 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100009156 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3252 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $1,500 | POS | 100009157 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3253 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100009158 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3254 | BlueChoice Advantage HSA Compatible Silver Plan - $1,500 | POS | 100009159 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3255 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100009161 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3256 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $1,500 | POS | 100009162 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3257 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100009163 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3258 | BlueChoice Advantage HSA Compatible Silver Plan - $1,500 | POS | 100009164 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3259 | BlueChoice Advantage 90%/70% Platinum Plan - SE | POS | 100009167 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3260 | BlueChoice Advantage 90%/70% Platinum Plan - SE | POS | 100009168 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3261 | BlueChoice HMO $20/$30 Platinum Plan | HMO | 100009169 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3262 | BlueChoice HMO HSA Compatible Bronze Plan - $3,000 | HMO | 100009171 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3263 | BlueChoice HMO HSA BlueFund Bronze Plan - $3,000 | HMO | 100009172 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3264 | BlueChoice HMO HRA Integrated Compatible Bronze Plan - $3,000 | HMO | 100009173 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3265 | BlueChoice HMO HRA Integrated BlueFund Bronze Plan - $3,000 | HMO | 100009174 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3266 | BlueChoice HMO Referral HSA Compatible Bronze Plan - $4,000 SE | HMO | 100009176 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3267 | BlueChoice HMO Referral HSA BlueFund Bronze Plan - $4,000 SE | HMO | 100009177 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3268 | BlueChoice HMO Referral HRA Integrated Compatible Bronze Plan - $4,000 SE | HMO | 100009178 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3269 | BlueChoice HMO Referral HRA Integrated BlueFund Bronze Plan - $4,000 SE | HMO | 100009179 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3270 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 SE | HMO | 100009183 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3271 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 SE | HMO | 100009184 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3272 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 SE | HMO | 100009185 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3273 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 SE | HMO | 100009186 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3274 | BlueChoice HMO HSA Compatible Silver Plan - $1,500 | HMO | 100009188 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3275 | BlueChoice HMO HSA BlueFund Silver Plan - $1,500 | HMO | 100009189 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3276 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $1,500 | HMO | 100009190 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3277 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $1,500 | HMO | 100009191 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3278 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 | HMO | 100009193 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3279 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100009194 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3280 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100009195 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3281 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100009196 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3282 | BlueChoice HMO HDHP Gold Plan - $1,000 SE | HMO | 100009197 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3283 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 SE | HMO | 100009198 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3284 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 SE | HMO | 100009199 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3285 | BlueChoice HMO Referral $30/$40 Gold Plan | HMO | 100009201 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3286 | BlueChoice HMO Referral $20/$30 Platinum Plan | HMO | 100009202 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3287 | BluePreferred HSA Compatible Bronze Plan - $4,000 SE | PPO | 100009205 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3288 | BluePreferred HSA BlueFund Bronze Plan - $4,000 SE | PPO | 100009206 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3289 | BluePreferred HRA Integrated Compatible Bronze Plan - $4,000 SE | PPO | 100009207 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3290 | BluePreferred HRA Integrated BlueFund Bronze Plan - $4,000 SE | PPO | 100009208 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3291 | BluePreferred HSA Compatible Bronze Plan - $4,000 | PPO | 100009210 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3292 | BluePreferred HSA BlueFund Bronze Plan - $4,000 | PPO | 100009211 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3293 | BluePreferred HRA Integrated Compatible Bronze Plan - $4,000 | PPO | 100009212 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3294 | BluePreferred HRA Integrated BlueFund Bronze Plan - $4,000 | PPO | 100009213 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3295 | BluePreferred HSA Compatible Silver Plan - $2,000 SE | PPO | 100009215 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3296 | BluePreferred HSA BlueFund Silver Plan - $2,000 SE | PPO | 100009216 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3297 | BluePreferred HRA Integrated Compatible Silver Plan - $2,000 SE | PPO | 100009217 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3298 | BluePreferred HRA Integrated BlueFund Silver Plan - $2,000 SE | PPO | 100009218 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3299 | BluePreferred HSA Compatible Silver Plan - $2,000 | PPO | 100009220 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3300 | BluePreferred HSA BlueFund Silver Plan - $2,000 | PPO | 100009221 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3301 | BluePreferred HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100009222 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3302 | BluePreferred HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100009223 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3303 | BluePreferred HSA Compatible Silver Plan - $1,600 | PPO | 100009225 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3304 | BluePreferred HSA BlueFund Silver Plan - $1,600 | PPO | 100009226 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3305 | BluePreferred HRA Integrated Compatible Silver Plan - $1,600 | PPO | 100009227 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3306 | BluePreferred HRA Integrated BlueFund Silver Plan - $1,600 | PPO | 100009228 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3307 | BluePreferred HDHP Gold Plan - $1,000 SE | PPO | 100009230 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3308 | BluePreferred HRA Integrated Compatible Gold Plan - $1,000 SE | PPO | 100009231 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3309 | BluePreferred HRA Integrated BlueFund Gold Plan - $1,000 SE | PPO | 100009232 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3310 | BluePreferred HSA Compatible Bronze Plan - $4,000 SE | PPO | 100009239 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3311 | BluePreferred HSA BlueFund Bronze Plan - $4,000 SE | PPO | 100009240 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3312 | BluePreferred HRA Integrated Compatible Bronze Plan - $4,000 SE | PPO | 100009241 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3313 | BluePreferred HRA Integrated BlueFund Bronze Plan - $4,000 SE | PPO | 100009242 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3314 | BluePreferred HSA Compatible Bronze Plan - $4,000 | PPO | 100009244 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3315 | BluePreferred HSA BlueFund Bronze Plan - $4,000 | PPO | 100009245 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3316 | BluePreferred HRA Integrated Compatible Bronze Plan - $4,000 | PPO | 100009246 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 3317 | BluePreferred HRA Integrated BlueFund Bronze Plan - $4,000 | PPO | 100009247 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3318 | BluePreferred HSA Compatible Silver Plan - $2,000 SE | PPO | 100009249 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3319 | BluePreferred HSA BlueFund Silver Plan - $2,000 SE | PPO | 100009250 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3320 | BluePreferred HRA Integrated Compatible Silver Plan - $2,000 SE | PPO | 100009251 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3321 | BluePreferred HRA Integrated BlueFund Silver Plan - $2,000 SE | PPO | 100009252 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3322 | BluePreferred HSA Compatible Silver Plan - $2,000 | PPO | 100009254 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3323 | BluePreferred HSA BlueFund Silver Plan - $2,000 | PPO | 100009255 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3324 | BluePreferred HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100009256 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3325 | BluePreferred HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100009257 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3326 | BluePreferred HSA Compatible Silver Plan - $1,600 | PPO | 100009259 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3327 | BluePreferred HSA BlueFund Silver Plan - $1,600 | PPO | 100009260 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3328 | BluePreferred HRA Integrated Compatible Silver Plan - $1,600 | PPO | 100009261 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3329 | BluePreferred HRA Integrated BlueFund Silver Plan - $1,600 | PPO | 100009262 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3330 | BluePreferred HDHP Gold Plan - $1,000 SE | PPO | 100009265 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3331 | BluePreferred HRA Integrated Compatible Gold Plan - $1,000 SE | PPO | 100009266 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3332 | BluePreferred HRA Integrated BlueFund Gold Plan - $1,000 SE | PPO | 100009267 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3333 | BluePreferred HDHP Silver Plan - $2,000 | PPO | 100009271 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3334 | BluePreferred HRA Non-Integrated Compatible Silver Plan - $2,000 | PPO | 100009272 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3335 | BluePreferred HRA Non-Integrated BlueFund Silver Plan - $2,000 | PPO | 100009273 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3336 | BluePreferred HDHP Gold Plan - $1,400 | PPO | 100009274 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3337 | BluePreferred HRA Non-Integrated Compatible Gold Plan - $1,400 | PPO | 100009275 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3338 | BluePreferred HRA Non-Integrated BlueFund Gold Plan - $1,400 | PPO | 100009276 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3339 | BluePreferred HDHP Silver Plan - $2,000 | PPO | 100009277 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3340 | BluePreferred HRA Non-Integrated Compatible Silver Plan - $2,000 | PPO | 100009278 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3341 | BluePreferred HRA Non-Integrated BlueFund Silver Plan - $2,000 | PPO | 100009279 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3342 | BluePreferred HDHP Gold Plan - $1,400 | PPO | 100009280 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3343 | BluePreferred HRA Non-Integrated Compatible Gold Plan - $1,400 | PPO | 100009281 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3344 | BluePreferred HRA Non-Integrated BlueFund Gold Plan - $1,400 | PPO | 100009282 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3345 | BluePreferred 100%/80% Platinum Plan - SE | PPO | 100009284 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3346 | BluePreferred Platinum Plan - $250 | PPO | 100009285 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3347 | BluePreferred 100%/80% Platinum Plan - SE | PPO | 100009287 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3348 | BluePreferred Platinum Plan - $250 | PPO | 100009288 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3349 | BlueChoice Plus 100%/60% Platinum Plan - $20/$30 | POS | 100009289 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3350 | BlueChoice Plus 100%/80% Platinum Plan - $20/$30 | POS | 100009290 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3351 | BlueChoice Plus HSA Compatible Silver Plan - $1,500 | POS | 100009292 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3352 | BlueChoice Plus HSA BlueFund Silver Plan - $1,500 | POS | 100009293 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3353 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $1,500 | POS | 100009294 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3354 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100009295 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3355 | BlueChoice Plus HSA Compatible Silver Plan - $2,000 | POS | 100009297 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3356 | BlueChoice Plus HSA BlueFund Silver Plan - $2,000 | POS | 100009298 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3357 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100009299 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3358 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100009300 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3359 | BlueChoice Plus HSA Compatible Silver Plan - $1,500 | POS | 100009302 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3360 | BlueChoice Plus HSA BlueFund Silver Plan - $1,500 | POS | 100009303 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3361 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $1,500 | POS | 100009304 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3362 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100009305 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3363 | BlueChoice Plus HSA Compatible Silver Plan - $2,000 | POS | 100009307 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3364 | BlueChoice Plus HSA BlueFund Silver Plan - $2,000 | POS | 100009308 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3365 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100009309 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3366 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100009310 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3367 | HealthyBlue Plus HSA Compatible Silver Plan - $2,000 | POS | 100009312 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3368 | HealthyBlue Plus HSA BlueFund Silver Plan - $2,000 | POS | 100009313 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3369 | HealthyBlue Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100009314 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3370 | HealthyBlue Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100009315 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3371 | HealthyBlue Plus HSA Compatible Silver Plan - $2,000 | POS | 100009317 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3372 | HealthyBlue Plus HSA BlueFund Silver Plan - $2,000 | POS | 100009318 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3373 | HealthyBlue Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100009319 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3374 | HealthyBlue Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100009320 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3375 | HealthyBlue Plus HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100009321 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3376 | HealthyBlue Plus HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100009322 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3377 | HealthyBlue Plus HDHP Gold Plan - $1,500 | POS | 100009323 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3378 | HealthyBlue Plus HRA Non-Integrated Compatible Platinum Plan - $1,000 | POS | 100009324 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3379 | HealthyBlue Plus HRA Non-Integrated BlueFund Platinum Plan - $1,000 | POS | 100009325 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3380 | HealthyBlue Plus HDHP Platinum Plan - $1,000 | POS | 100009326 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3381 | HealthyBlue Plus HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100009327 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3382 | HealthyBlue Plus HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100009328 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3383 | HealthyBlue Plus HDHP Gold Plan - $1,500 | POS | 100009329 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3384 | HealthyBlue Plus HRA Non-Integrated Compatible Platinum Plan - $1,000 | POS | 100009330 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3385 | HealthyBlue Plus HRA Non-Integrated BlueFund Platinum Plan - $1,000 | POS | 100009331 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3386 | HealthyBlue Plus HDHP Platinum Plan - $1,000 | POS | 100009332 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3387 | HealthyBlue Plus Platinum Plan - $500 | POS | 100009333 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3388 | HealthyBlue Plus Platinum Plan - $500 | POS | 100009334 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3389 | HealthyBlue Advantage HSA Compatible Silver Plan - $2,000 | POS | 100009336 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3390 | HealthyBlue Advantage HSA BlueFund Silver Plan - $2,000 | POS | 100009337 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3391 | HealthyBlue Advantage HRA Integrated Compatible Silver Plan - $2,000 | POS | 100009338 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3392 | HealthyBlue Advantage HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100009339 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3393 | HealthyBlue Advantage HSA Compatible Silver Plan - $2,000 | POS | 100009341 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3394 | HealthyBlue Advantage HSA BlueFund Silver Plan - $2,000 | POS | 100009342 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3395 | HealthyBlue Advantage HRA Integrated Compatible Silver Plan - $2,000 | POS | 100009343 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3396 | HealthyBlue Advantage HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100009344 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3397 | HealthyBlue Advantage HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100009345 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3398 | HealthyBlue Advantage HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100009346 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3399 | HealthyBlue Advantage HDHP Gold Plan - $1,500 | POS | 100009347 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3400 | HealthyBlue Advantage HRA Non-Integrated Compatible Platinum Plan - $1,000 | POS | 100009348 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3401 | HealthyBlue Advantage HRA Non-Integrated BlueFund Platinum Plan - $1,000 | POS | 100009349 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3402 | HealthyBlue Advantage HDHP Platinum Plan - $1,000 | POS | 100009350 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3403 | HealthyBlue Advantage HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100009351 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3404 | HealthyBlue Advantage HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100009352 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3405 | HealthyBlue Advantage HDHP Gold Plan - $1,500 | POS | 100009353 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3406 | HealthyBlue Advantage HRA Non-Integrated Compatible Platinum Plan - $1,000 | POS | 100009354 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3407 | HealthyBlue Advantage HRA Non-Integrated BlueFund Platinum Plan - $1,000 | POS | 100009355 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3408 | HealthyBlue Advantage HDHP Platinum Plan - $1,000 | POS | 100009356 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3409 | HealthyBlue Advantage Platinum Plan - $500 | POS | 100009357 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3410 | HealthyBlue Advantage Platinum Plan - $500 | POS | 100009358 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3411 | HealthyBlue HMO HSA Compatible Silver Plan - $2,000 | HMO | 100009360 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3412 | HealthyBlue HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100009361 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3413 | HealthyBlue HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100009362 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3414 | HealthyBlue HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100009363 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3415 | HealthyBlue HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100009364 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3416 | HealthyBlue HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100009365 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3417 | HealthyBlue HMO HDHP Gold Plan - $1,500 | HMO | 100009366 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3418 | HealthyBlue HMO HRA Non-Integrated Compatible Platinum Plan - $1,000 | HMO | 100009367 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3419 | HealthyBlue HMO HRA Non-Integrated BlueFund Platinum Plan - $1,000 | HMO | 100009368 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3420 | HealthyBlue HMO HDHP Platinum Plan - $1,000 | HMO | 100009369 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3421 | HealthyBlue HMO Platinum Plan - $500 | HMO | 100009370 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3422 | HealthyBlue PPO HSA Compatible Silver Plan - $2,000 | PPO | 100009372 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3423 | HealthyBlue PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100009373 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3424 | HealthyBlue PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100009374 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3425 | HealthyBlue PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100009375 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3426 | HealthyBlue PPO HSA Compatible Silver Plan - $2,000 | PPO | 100009377 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3427 | HealthyBlue PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100009378 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3428 | HealthyBlue PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100009379 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 3429 | HealthyBlue PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100009380 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3430 | HealthyBlue PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100009381 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3431 | HealthyBlue PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100009382 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3432 | HealthyBlue PPO HDHP Gold Plan - $1,500 | PPO | 100009383 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3433 | HealthyBlue PPO HRA Non-Integrated Compatible Platinum Plan - $1,000 | PPO | 100009384 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3434 | HealthyBlue PPO HRA Non-Integrated BlueFund Platinum Plan - $1,000 | PPO | 100009385 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3435 | HealthyBlue PPO HDHP Platinum Plan - $1,000 | PPO | 100009386 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3436 | HealthyBlue PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100009387 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3437 | HealthyBlue PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100009388 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3438 | HealthyBlue PPO HDHP Gold Plan - $1,500 | PPO | 100009389 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3439 | HealthyBlue PPO HRA Non-Integrated Compatible Platinum Plan - $1,000 | PPO | 100009390 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3440 | HealthyBlue PPO HRA Non-Integrated BlueFund Platinum Plan - $1,000 | PPO | 100009391 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3441 | HealthyBlue PPO HDHP Platinum Plan - $1,000 | PPO | 100009392 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3442 | HealthyBlue PPO Platinum Plan - $500 | PPO | 100009393 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 3443 | HealthyBlue PPO Platinum Plan - $500 | PPO | 100009394 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3444 | BluePreferred HDHP Gold Plan - $1,000 | PPO | 100009416 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3445 | BluePreferred HRA Non-Integrated Compatible Gold Plan - $1,000 | PPO | 100009417 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3446 | BluePreferred HRA Non-Integrated BlueFund Gold Plan - $1,000 | PPO | 100009418 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3447 | BluePreferred HDHP Gold Plan - $1,000 | PPO | 100009419 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3448 | BluePreferred HRA Non-Integrated Compatible Gold Plan - $1,000 | PPO | 100009420 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 3449 | BluePreferred HRA Non-Integrated BlueFund Gold Plan - $1,000 | PPO | 100009421 | ? |
Benefits
| 1/1/2014 | 12/31/2014 | CAF | |
| MD | D | N/A | 4001 | Choice Incentive $1,000 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1000I80BSM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4002 | Choice Incentive $1,000 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1000I80MSM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4003 | Choice Incentive $1,000 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1000IMAXBSM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4004 | Choice Incentive $1,000 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1000IMAXMSM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4005 | Choice Incentive $1,500 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1500I80BSM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4006 | Choice Incentive $1,500 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1500I80MSM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4007 | Choice Incentive $1,500 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1500IMAXBSM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4008 | Choice Incentive $1,500 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1500IMAXMSM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4009 | Choice Passive $1,000 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1000P80BSM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4010 | Choice Passive $1,000 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1000P80MSM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4011 | Choice Passive $1,000 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1000PMAXBSM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4012 | Choice Passive $1,000 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1000PMAXMSM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4013 | Choice Passive $1,500 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1500P80BSM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4014 | Choice Passive $1,500 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1500P80MSM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4015 | Choice Passive $1,500 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1500PMAXBSM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4016 | Choice Passive $1,500 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1500PMAXMSM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4017 | Access ePPO Schedule A2 | DEN | EPPOA2M | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4018 | Access ePPO Schedule C2 | DEN | EPPOC2M | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4019 | Choice Incentive $1,000 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1000I80BSD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4020 | Choice Incentive $1,000 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1000I80MSD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4021 | Choice Incentive $1,000 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1000IMAXBSD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4022 | Choice Incentive $1,000 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1000IMAXMSD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4023 | Choice Incentive $1,500 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1500I80BSD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4024 | Choice Incentive $1,500 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1500I80MSD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4025 | Choice Incentive $1,500 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1500IMAXBSD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4026 | Choice Incentive $1,500 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1500IMAXMSD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4027 | Choice Passive $1,000 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1000P80BSD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4028 | Choice Passive $1,000 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1000P80MSD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4029 | Choice Passive $1,000 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1000PMAXBSD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4030 | Choice Passive $1,000 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1000PMAXMSD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4031 | Choice Passive $1,500 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1500P80BSD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4032 | Choice Passive $1,500 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1500P80MSD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4033 | Choice Passive $1,500 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1500PMAXBSD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4034 | Choice Passive $1,500 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1500PMAXMSD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4035 | Access ePPO Schedule A2 | DEN | EPPOA2D | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4036 | Access ePPO Schedule C2 | DEN | EPPOC2D | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4037 | Choice Incentive $1,000 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1000I80BSV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4038 | Choice Incentive $1,000 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1000I80MSV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4039 | Choice Incentive $1,000 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1000IMAXBSV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4040 | Choice Incentive $1,000 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1000IMAXMSV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4041 | Choice Incentive $1,500 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1500I80BSV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4042 | Choice Incentive $1,500 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1500I80MSV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4043 | Choice Incentive $1,500 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1500IMAXBSV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4044 | Choice Incentive $1,500 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1500IMAXMSV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4045 | Choice Passive $1,000 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1000P80BSV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4046 | Choice Passive $1,000 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1000P80MSV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4047 | Choice Passive $1,000 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1000PMAXBSV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4048 | Choice Passive $1,000 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1000PMAXMSV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4049 | Choice Passive $1,500 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1500P80BSV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4050 | Choice Passive $1,500 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1500P80MSV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4051 | Choice Passive $1,500 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1500PMAXBSV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4052 | Choice Passive $1,500 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1500PMAXMSV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4053 | Access ePPO Schedule A2 | DEN | EPPOA2V | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4054 | Access ePPO Schedule C2 | DEN | EPPOC2V | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4055 | Choice Incentive $1,000 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1000I80BNM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4056 | Choice Incentive $1,000 Max, 80% UCR Type II Basic (with $1,500 Ortho) | DEN | PPO1000I80BOM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4057 | Choice Incentive $1,000 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1000I80MNM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4058 | Choice Incentive $1,000 Max, 80% UCR Type III Major (with $1,500 Ortho) | DEN | PPO1000I80MOM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4059 | Choice Incentive $1,000 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1000IMAXBNM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4060 | Choice Incentive $1,000 Max, Max Allowable Charge, Type II Basic (with $1,500 Ortho) | DEN | PPO1000IMAXBOM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4061 | Choice Incentive $1,000 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1000IMAXMNM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4062 | Choice Incentive $1,000 Max, Max Allowable Charge, Type III Major (with $1,500 Ortho) | DEN | PPO1000IMAXMOM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4063 | Choice Incentive $1,500 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1500I80BNM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4064 | Choice Incentive $1,500 Max, 80% UCR Type II Basic (with $1,500 Ortho) | DEN | PPO1500I80BOM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4065 | Choice Incentive $1,500 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1500I80MNM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4066 | Choice Incentive $1,500 Max, 80% UCR Type III Major (with $1,500 Ortho) | DEN | PPO1500I80MOM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4067 | Choice Incentive $1,500 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1500IMAXBNM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4068 | Choice Incentive $1,500 Max, Max Allowable Charge, Type II Basic (with $1,500 Ortho) | DEN | PPO1500IMAXBOM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4069 | Choice Incentive $1,500 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1500IMAXMNM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4070 | Choice Incentive $1,500 Max, Max Allowable Charge, Type III Major (with $1,500 Ortho) | DEN | PPO1500IMAXMOM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4071 | Choice Passive $1,000 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1000P80BNM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4072 | Choice Passive $1,000 Max, 80% UCR Type II Basic (with $1,500 Ortho) | DEN | PPO1000P80BOM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4073 | Choice Passive $1,000 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1000P80MNM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4074 | Choice Passive $1,000 Max, 80% UCR Type III Major (with $1,500 Ortho) | DEN | PPO1000P80MOM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4075 | Choice Passive $1,000 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1000PMAXBNM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4076 | Choice Passive $1,000 Max, Max Allowable Charge, Type II Basic (with $1,500 Ortho) | DEN | PPO1000PMAXBOM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4077 | Choice Passive $1,000 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1000PMAXMNM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4078 | Choice Passive $1,000 Max, Max Allowable Charge, Type III Major (with $1,500 Ortho) | DEN | PPO1000PMAXMOM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4079 | Choice Passive $1,500 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1500P80BNM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4080 | Choice Passive $1,500 Max, 80% UCR Type II Basic (with $1,500 Ortho) | DEN | PPO1500P80BOM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4081 | Choice Passive $1,500 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1500P80MNM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4082 | Choice Passive $1,500 Max, 80% UCR Type III Major (with $1,500 Ortho) | DEN | PPO1500P80MOM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4083 | Choice Passive $1,500 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1500PMAXBNM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4084 | Choice Passive $1,500 Max, Max Allowable Charge, Type II Basic (with $1,500 Ortho) | DEN | PPO1500PMAXBOM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4085 | Choice Passive $1,500 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1500PMAXMNM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| MD | D | N/A | 4086 | Choice Passive $1,500 Max, Max Allowable Charge, Type III Major (with $1,500 Ortho) | DEN | PPO1500PMAXMOM | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4087 | Choice Incentive $1,000 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1000I80BND | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4088 | Choice Incentive $1,000 Max, 80% UCR Type II Basic (with $1,500 Ortho) | DEN | PPO1000I80BOD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4089 | Choice Incentive $1,000 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1000I80MND | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4090 | Choice Incentive $1,000 Max, 80% UCR Type III Major (with $1,500 Ortho) | DEN | PPO1000I80MOD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4091 | Choice Incentive $1,000 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1000IMAXBND | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4092 | Choice Incentive $1,000 Max, Max Allowable Charge, Type II Basic (with $1,500 Ortho) | DEN | PPO1000IMAXBOD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4093 | Choice Incentive $1,000 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1000IMAXMND | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4094 | Choice Incentive $1,000 Max, Max Allowable Charge, Type III Major (with $1,500 Ortho) | DEN | PPO1000IMAXMOD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4095 | Choice Incentive $1,500 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1500I80BND | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4096 | Choice Incentive $1,500 Max, 80% UCR Type II Basic (with $1,500 Ortho) | DEN | PPO1500I80BOD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4097 | Choice Incentive $1,500 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1500I80MND | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4098 | Choice Incentive $1,500 Max, 80% UCR Type III Major (with $1,500 Ortho) | DEN | PPO1500I80MOD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4099 | Choice Incentive $1,500 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1500IMAXBND | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4100 | Choice Incentive $1,500 Max, Max Allowable Charge, Type II Basic (with $1,500 Ortho) | DEN | PPO1500IMAXBOD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4101 | Choice Incentive $1,500 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1500IMAXMND | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4102 | Choice Incentive $1,500 Max, Max Allowable Charge, Type III Major (with $1,500 Ortho) | DEN | PPO1500IMAXMOD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4103 | Choice Passive $1,000 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1000P80BND | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4104 | Choice Passive $1,000 Max, 80% UCR Type II Basic (with $1,500 Ortho) | DEN | PPO1000P80BOD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4105 | Choice Passive $1,000 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1000P80MND | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4106 | Choice Passive $1,000 Max, 80% UCR Type III Major (with $1,500 Ortho) | DEN | PPO1000P80MOD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4107 | Choice Passive $1,000 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1000PMAXBND | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4108 | Choice Passive $1,000 Max, Max Allowable Charge, Type II Basic (with $1,500 Ortho) | DEN | PPO1000PMAXBOD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4109 | Choice Passive $1,000 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1000PMAXMND | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4110 | Choice Passive $1,000 Max, Max Allowable Charge, Type III Major (with $1,500 Ortho) | DEN | PPO1000PMAXMOD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4111 | Choice Passive $1,500 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1500P80BND | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4112 | Choice Passive $1,500 Max, 80% UCR Type II Basic (with $1,500 Ortho) | DEN | PPO1500P80BOD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4113 | Choice Passive $1,500 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1500P80MND | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4114 | Choice Passive $1,500 Max, 80% UCR Type III Major (with $1,500 Ortho) | DEN | PPO1500P80MOD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4115 | Choice Passive $1,500 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1500PMAXBND | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4116 | Choice Passive $1,500 Max, Max Allowable Charge, Type II Basic (with $1,500 Ortho) | DEN | PPO1500PMAXBOD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4117 | Choice Passive $1,500 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1500PMAXMND | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4118 | Choice Passive $1,500 Max, Max Allowable Charge, Type III Major (with $1,500 Ortho) | DEN | PPO1500PMAXMOD | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4119 | Choice Incentive $1,000 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1000I80BNV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4120 | Choice Incentive $1,000 Max, 80% UCR Type II Basic (with $1,500 Ortho) | DEN | PPO1000I80BOV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4121 | Choice Incentive $1,000 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1000I80MNV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4122 | Choice Incentive $1,000 Max, 80% UCR Type III Major (with $1,500 Ortho) | DEN | PPO1000I80MOV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4123 | Choice Incentive $1,000 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1000IMAXBNV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4124 | Choice Incentive $1,000 Max, Max Allowable Charge, Type II Basic (with $1,500 Ortho) | DEN | PPO1000IMAXBOV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4125 | Choice Incentive $1,000 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1000IMAXMNV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4126 | Choice Incentive $1,000 Max, Max Allowable Charge, Type III Major (with $1,500 Ortho) | DEN | PPO1000IMAXMOV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4127 | Choice Incentive $1,500 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1500I80BNV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4128 | Choice Incentive $1,500 Max, 80% UCR Type II Basic (with $1,500 Ortho) | DEN | PPO1500I80BOV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4129 | Choice Incentive $1,500 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1500I80MNV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4130 | Choice Incentive $1,500 Max, 80% UCR Type III Major (with $1,500 Ortho) | DEN | PPO1500I80MOV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4131 | Choice Incentive $1,500 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1500IMAXBNV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4132 | Choice Incentive $1,500 Max, Max Allowable Charge, Type II Basic (with $1,500 Ortho) | DEN | PPO1500IMAXBOV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4133 | Choice Incentive $1,500 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1500IMAXMNV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4134 | Choice Incentive $1,500 Max, Max Allowable Charge, Type III Major (with $1,500 Ortho) | DEN | PPO1500IMAXMOV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4135 | Choice Passive $1,000 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1000P80BNV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4136 | Choice Passive $1,000 Max, 80% UCR Type II Basic (with $1,500 Ortho) | DEN | PPO1000P80BOV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4137 | Choice Passive $1,000 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1000P80MNV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4138 | Choice Passive $1,000 Max, 80% UCR Type III Major (with $1,500 Ortho) | DEN | PPO1000P80MOV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4139 | Choice Passive $1,000 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1000PMAXBNV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4140 | Choice Passive $1,000 Max, Max Allowable Charge, Type II Basic (with $1,500 Ortho) | DEN | PPO1000PMAXBOV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4141 | Choice Passive $1,000 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1000PMAXMNV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4142 | Choice Passive $1,000 Max, Max Allowable Charge, Type III Major (with $1,500 Ortho) | DEN | PPO1000PMAXMOV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4143 | Choice Passive $1,500 Max, 80% UCR Type II Basic (without Ortho) | DEN | PPO1500P80BNV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4144 | Choice Passive $1,500 Max, 80% UCR Type II Basic (with $1,500 Ortho) | DEN | PPO1500P80BOV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4145 | Choice Passive $1,500 Max, 80% UCR Type III Major (without Ortho) | DEN | PPO1500P80MNV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4146 | Choice Passive $1,500 Max, 80% UCR Type III Major (with $1,500 Ortho) | DEN | PPO1500P80MOV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4147 | Choice Passive $1,500 Max, Max Allowable Charge, Type II Basic (without Ortho) | DEN | PPO1500PMAXBNV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4148 | Choice Passive $1,500 Max, Max Allowable Charge, Type II Basic (with $1,500 Ortho) | DEN | PPO1500PMAXBOV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4149 | Choice Passive $1,500 Max, Max Allowable Charge, Type III Major (without Ortho) | DEN | PPO1500PMAXMNV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| VA | D | N/A | 4150 | Choice Passive $1,500 Max, Max Allowable Charge, Type III Major (with $1,500 Ortho) | DEN | PPO1500PMAXMOV | N/A |
Benefits
| 1/1/2014 | 12/31/2014 | DQD | |
| DC | D | N/A | 4200 | Access ePPO Schedule A2 | DEN | EPPOA2D | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4201 | Access ePPO Schedule C2 | DEN | EPPOC2D | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4202 | Choice Passive $1,000 Max, Max Allowable Charge Major (without Ortho) | DEN | PPO1000PMAXMND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4203 | Choice Passive $1,000 Max, Max Allowable Charge Major (with $1,500 Ortho) | DEN | PPO1000PMAXMOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4204 | Choice Passive $1,000 Max, 80% UCR Major (without Ortho) | DEN | PPO1000P80MND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4205 | Choice Passive $1,000 Max, 80% UCR Major (with $1,500 Ortho) | DEN | PPO1000P80MOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4206 | Choice Passive $1,000 Max, Max Allowable Charge Basic (without Ortho) | DEN | PPO1000PMAXBND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4207 | Choice Passive $1,000 Max, Max Allowable Charge Basic (with $1,500 Ortho) | DEN | PPO1000PMAXBOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4208 | Choice Passive $1,000 Max, 80% UCR Basic (without Ortho) | DEN | PPO1000P80BND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4209 | Choice Passive $1,000 Max, 80% UCR Basic (with $1,500 Ortho) | DEN | PPO1000P80BOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4210 | Choice Incentive $1,000 Max, Max Allowable Charge Major (without Ortho) | DEN | PPO1000IMAXMND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4211 | Choice Incentive $1,000 Max, Max Allowable Charge Major (with $1,500 Ortho) | DEN | PPO1000IMAXMOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4212 | Choice Incentive $1,000 Max, 80% UCR Major (without Ortho) | DEN | PPO1000I80MND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4213 | Choice Incentive $1,000 Max, 80% UCR Major (with $1,500 Ortho) | DEN | PPO1000I80MOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4214 | Choice Incentive $1,000 Max, Max Allowable Charge Basic (without Ortho) | DEN | PPO1000IMAXBND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4215 | Choice Incentive $1,000 Max, Max Allowable Charge Basic (with $1,500 Ortho) | DEN | PPO1000IMAXBOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4216 | Choice Incentive $1,000 Max, 80% UCR Basic (without Ortho) | DEN | PPO1000I80BND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4217 | Choice Incentive $1,000 Max, 80% UCR Basic (with $1,500 Ortho) | DEN | PPO1000I80BOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4218 | Choice Passive $1,500 Max, Max Allowable Charge Major (without Ortho) | DEN | PPO1500PMAXMND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4219 | Choice Passive $1,500 Max, Max Allowable Charge Major (with $1,500 Ortho) | DEN | PPO1500PMAXMOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4220 | Choice Passive $1,500 Max, 80% UCR Major (without Ortho) | DEN | PPO1500P80MND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4221 | Choice Passive $1,500 Max, 80% UCR Major (with $1,500 Ortho) | DEN | PPO1500P80MOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4222 | Choice Passive $1,500 Max, Max Allowable Charge Basic (without Ortho) | DEN | PPO1500PMAXBND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4223 | Choice Passive $1,500 Max, Max Allowable Charge Basic (with $1,500 Ortho) | DEN | PPO1500PMAXBOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4224 | Choice Passive $1,500 Max, 80% UCR Basic (without Ortho) | DEN | PPO1500P80BND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4225 | Choice Passive $1,500 Max, 80% UCR Basic (with $1,500 Ortho) | DEN | PPO1500P80BOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4226 | Choice Incentive $1,500 Max, Max Allowable Charge Major (without Ortho) | DEN | PPO1500IMAXMND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4227 | Choice Incentive $1,500 Max, Max Allowable Charge Major (with $1,500 Ortho) | DEN | PPO1500IMAXMOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4228 | Choice Incentive $1,500 Max, 80% UCR Major (without Ortho) | DEN | PPO1500I80MND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4229 | Choice Incentive $1,500 Max, 80% UCR Major (with $1,500 Ortho) | DEN | PPO1500I80MOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4230 | Choice Incentive $1,500 Max, Max Allowable Charge Basic (without Ortho) | DEN | PPO1500IMAXBND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4231 | Choice Incentive $1,500 Max, Max Allowable Charge Basic (with $1,500 Ortho) | DEN | PPO1500IMAXBOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4232 | Choice Incentive $1,500 Max, 80% UCR Basic (without Ortho) | DEN | PPO1500I80BND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4233 | Choice Incentive $1,500 Max, 80% UCR Basic (with $1,500 Ortho) | DEN | PPO1500I80BOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4234 | Choice PPO Flip $1,000 Max, Max Allowable Charge Major (without Ortho) | DEN | PPO1000FMAXMND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4235 | Choice PPO Flip $1,000 Max, Max Allowable Charge Major (with $1,500 Ortho) | DEN | PPO1000FMAXMOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4236 | Choice PPO Flip $1,000 Max, 80% UCR Major (without Ortho) | DEN | PPO1000F80MND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4237 | Choice PPO Flip $1,000 Max, 80% UCR Major (with $1,500 Ortho) | DEN | PPO1000F80MOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4238 | Choice PPO Flip $1,000 Max, Max Allowable Charge Basic (without Ortho) | DEN | PPO1000FMAXBND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4239 | Choice PPO Flip $1,000 Max, Max Allowable Charge Basic (with $1,500 Ortho) | DEN | PPO1000FMAXBOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4240 | Choice PPO Flip $1,000 Max, 80% UCR Basic (without Ortho) | DEN | PPO1000F80BND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4241 | Choice PPO Flip $1,000 Max, 80% UCR Basic (with $1,500 Ortho) | DEN | PPO1000F80BOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4242 | Choice PPO Flip $1,500 Max, Max Allowable Charge Major (without Ortho) | DEN | PPO1500FMAXMND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4243 | Choice PPO Flip $1,500 Max, Max Allowable Charge Major (with $1,500 Ortho) | DEN | PPO1500FMAXMOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4244 | Choice PPO Flip $1,500 Max, 80% UCR Major (without Ortho) | DEN | PPO1500F80MND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4245 | Choice PPO Flip $1,500 Max, 80% UCR Major (with $1,500 Ortho) | DEN | PPO1500F80MOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4246 | Choice PPO Flip $1,500 Max, Max Allowable Charge Basic (without Ortho) | DEN | PPO1500FMAXBND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4247 | Choice PPO Flip $1,500 Max, Max Allowable Charge Basic (with $1,500 Ortho) | DEN | PPO1500FMAXBOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4248 | Choice PPO Flip $1,500 Max, 80% UCR Basic (without Ortho) | DEN | PPO1500F80BND | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| DC | D | N/A | 4249 | Choice PPO Flip $1,500 Max, 80% UCR Basic (with $1,500 Ortho) | DEN | PPO1500F80BOD | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4250 | Access ePPO Schedule A2 | DEN | EPPOA2M | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4251 | Access ePPO Schedule C2 | DEN | EPPOC2M | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4252 | Choice Passive $1,000 Max, Max Allowable Charge Major (without Ortho) | DEN | PPO1000PMAXMNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4253 | Choice Passive $1,000 Max, Max Allowable Charge Major (with $1,500 Ortho) | DEN | PPO1000PMAXMOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4254 | Choice Passive $1,000 Max, 80% UCR Major (without Ortho) | DEN | PPO1000P80MNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4255 | Choice Passive $1,000 Max, 80% UCR Major (with $1,500 Ortho) | DEN | PPO1000P80MOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4256 | Choice Passive $1,000 Max, Max Allowable Charge Basic (without Ortho) | DEN | PPO1000PMAXBNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4257 | Choice Passive $1,000 Max, Max Allowable Charge Basic (with $1,500 Ortho) | DEN | PPO1000PMAXBOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4258 | Choice Passive $1,000 Max, 80% UCR Basic (without Ortho) | DEN | PPO1000P80BNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4259 | Choice Passive $1,000 Max, 80% UCR Basic (with $1,500 Ortho) | DEN | PPO1000P80BOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4260 | Choice Incentive $1,000 Max, Max Allowable Charge Major (without Ortho) | DEN | PPO1000IMAXMNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4261 | Choice Incentive $1,000 Max, Max Allowable Charge Major (with $1,500 Ortho) | DEN | PPO1000IMAXMOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4262 | Choice Incentive $1,000 Max, 80% UCR Major (without Ortho) | DEN | PPO1000I80MNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4263 | Choice Incentive $1,000 Max, 80% UCR Major (with $1,500 Ortho) | DEN | PPO1000I80MOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4264 | Choice Incentive $1,000 Max, Max Allowable Charge Basic (without Ortho) | DEN | PPO1000IMAXBNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4265 | Choice Incentive $1,000 Max, Max Allowable Charge Basic (with $1,500 Ortho) | DEN | PPO1000IMAXBOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4266 | Choice Incentive $1,000 Max, 80% UCR Basic (without Ortho) | DEN | PPO1000I80BNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4267 | Choice Incentive $1,000 Max, 80% UCR Basic (with $1,500 Ortho) | DEN | PPO1000I80BOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4268 | Choice Passive $1,500 Max, Max Allowable Charge Major (without Ortho) | DEN | PPO1500PMAXMNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4269 | Choice Passive $1,500 Max, Max Allowable Charge Major (with $1,500 Ortho) | DEN | PPO1500PMAXMOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4270 | Choice Passive $1,500 Max, 80% UCR Major (without Ortho) | DEN | PPO1500P80MNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4271 | Choice Passive $1,500 Max, 80% UCR Major (with $1,500 Ortho) | DEN | PPO1500P80MOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4272 | Choice Passive $1,500 Max, Max Allowable Charge Basic (without Ortho) | DEN | PPO1500PMAXBNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4273 | Choice Passive $1,500 Max, Max Allowable Charge Basic (with $1,500 Ortho) | DEN | PPO1500PMAXBOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4274 | Choice Passive $1,500 Max, 80% UCR Basic (without Ortho) | DEN | PPO1500P80BNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4275 | Choice Passive $1,500 Max, 80% UCR Basic (with $1,500 Ortho) | DEN | PPO1500P80BOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4276 | Choice Incentive $1,500 Max, Max Allowable Charge Major (without Ortho) | DEN | PPO1500IMAXMNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4277 | Choice Incentive $1,500 Max, Max Allowable Charge Major (with $1,500 Ortho) | DEN | PPO1500IMAXMOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4278 | Choice Incentive $1,500 Max, 80% UCR Major (without Ortho) | DEN | PPO1500I80MNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4279 | Choice Incentive $1,500 Max, 80% UCR Major (with $1,500 Ortho) | DEN | PPO1500I80MOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4280 | Choice Incentive $1,500 Max, Max Allowable Charge Basic (without Ortho) | DEN | PPO1500IMAXBNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4281 | Choice Incentive $1,500 Max, Max Allowable Charge Basic (with $1,500 Ortho) | DEN | PPO1500IMAXBOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4282 | Choice Incentive $1,500 Max, 80% UCR Basic (without Ortho) | DEN | PPO1500I80BNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4283 | Choice Incentive $1,500 Max, 80% UCR Basic (with $1,500 Ortho) | DEN | PPO1500I80BOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4284 | Choice PPO Flip $1,000 Max, Max Allowable Charge Major (without Ortho) | DEN | PPO1000FMAXMNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4285 | Choice PPO Flip $1,000 Max, Max Allowable Charge Major (with $1,500 Ortho) | DEN | PPO1000FMAXMOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4286 | Choice PPO Flip $1,000 Max, 80% UCR Major (without Ortho) | DEN | PPO1000F80MNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4287 | Choice PPO Flip $1,000 Max, 80% UCR Major (with $1,500 Ortho) | DEN | PPO1000F80MOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4288 | Choice PPO Flip $1,000 Max, Max Allowable Charge Basic (without Ortho) | DEN | PPO1000FMAXBNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4289 | Choice PPO Flip $1,000 Max, Max Allowable Charge Basic (with $1,500 Ortho) | DEN | PPO1000FMAXBOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4290 | Choice PPO Flip $1,000 Max, 80% UCR Basic (without Ortho) | DEN | PPO1000F80BNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4291 | Choice PPO Flip $1,000 Max, 80% UCR Basic (with $1,500 Ortho) | DEN | PPO1000F80BOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4292 | Choice PPO Flip $1,500 Max, Max Allowable Charge Major (without Ortho) | DEN | PPO1500FMAXMNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4293 | Choice PPO Flip $1,500 Max, Max Allowable Charge Major (with $1,500 Ortho) | DEN | PPO1500FMAXMOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4294 | Choice PPO Flip $1,500 Max, 80% UCR Major (without Ortho) | DEN | PPO1500F80MNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4295 | Choice PPO Flip $1,500 Max, 80% UCR Major (with $1,500 Ortho) | DEN | PPO1500F80MOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4296 | Choice PPO Flip $1,500 Max, Max Allowable Charge Basic (without Ortho) | DEN | PPO1500FMAXBNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4297 | Choice PPO Flip $1,500 Max, Max Allowable Charge Basic (with $1,500 Ortho) | DEN | PPO1500FMAXBOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4298 | Choice PPO Flip $1,500 Max, 80% UCR Basic (without Ortho) | DEN | PPO1500F80BNM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 4299 | Choice PPO Flip $1,500 Max, 80% UCR Basic (with $1,500 Ortho) | DEN | PPO1500F80BOM | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4300 | Access ePPO Schedule A2 | DEN | EPPOA2V | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4301 | Access ePPO Schedule C2 | DEN | EPPOC2V | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4302 | Choice Passive $1,000 Max, Max Allowable Charge Major (without Ortho) | DEN | PPO1000PMAXMNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4303 | Choice Passive $1,000 Max, Max Allowable Charge Major (with $1,500 Ortho) | DEN | PPO1000PMAXMOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4304 | Choice Passive $1,000 Max, 80% UCR Major (without Ortho) | DEN | PPO1000P80MNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4305 | Choice Passive $1,000 Max, 80% UCR Major (with $1,500 Ortho) | DEN | PPO1000P80MOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4306 | Choice Passive $1,000 Max, Max Allowable Charge Basic (without Ortho) | DEN | PPO1000PMAXBNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4307 | Choice Passive $1,000 Max, Max Allowable Charge Basic (with $1,500 Ortho) | DEN | PPO1000PMAXBOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4308 | Choice Passive $1,000 Max, 80% UCR Basic (without Ortho) | DEN | PPO1000P80BNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4309 | Choice Passive $1,000 Max, 80% UCR Basic (with $1,500 Ortho) | DEN | PPO1000P80BOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4310 | Choice Incentive $1,000 Max, Max Allowable Charge Major (without Ortho) | DEN | PPO1000IMAXMNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4311 | Choice Incentive $1,000 Max, Max Allowable Charge Major (with $1,500 Ortho) | DEN | PPO1000IMAXMOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4312 | Choice Incentive $1,000 Max, 80% UCR Major (without Ortho) | DEN | PPO1000I80MNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4313 | Choice Incentive $1,000 Max, 80% UCR Major (with $1,500 Ortho) | DEN | PPO1000I80MOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4314 | Choice Incentive $1,000 Max, Max Allowable Charge Basic (without Ortho) | DEN | PPO1000IMAXBNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4315 | Choice Incentive $1,000 Max, Max Allowable Charge Basic (with $1,500 Ortho) | DEN | PPO1000IMAXBOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4316 | Choice Incentive $1,000 Max, 80% UCR Basic (without Ortho) | DEN | PPO1000I80BNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4317 | Choice Incentive $1,000 Max, 80% UCR Basic (with $1,500 Ortho) | DEN | PPO1000I80BOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4318 | Choice Passive $1,500 Max, Max Allowable Charge Major (without Ortho) | DEN | PPO1500PMAXMNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4319 | Choice Passive $1,500 Max, Max Allowable Charge Major (with $1,500 Ortho) | DEN | PPO1500PMAXMOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4320 | Choice Passive $1,500 Max, 80% UCR Major (without Ortho) | DEN | PPO1500P80MNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4321 | Choice Passive $1,500 Max, 80% UCR Major (with $1,500 Ortho) | DEN | PPO1500P80MOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4322 | Choice Passive $1,500 Max, Max Allowable Charge Basic (without Ortho) | DEN | PPO1500PMAXBNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4323 | Choice Passive $1,500 Max, Max Allowable Charge Basic (with $1,500 Ortho) | DEN | PPO1500PMAXBOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4324 | Choice Passive $1,500 Max, 80% UCR Basic (without Ortho) | DEN | PPO1500P80BNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4325 | Choice Passive $1,500 Max, 80% UCR Basic (with $1,500 Ortho) | DEN | PPO1500P80BOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4326 | Choice Incentive $1,500 Max, Max Allowable Charge Major (without Ortho) | DEN | PPO1500IMAXMNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4327 | Choice Incentive $1,500 Max, Max Allowable Charge Major (with $1,500 Ortho) | DEN | PPO1500IMAXMOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4328 | Choice Incentive $1,500 Max, 80% UCR Major (without Ortho) | DEN | PPO1500I80MNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4329 | Choice Incentive $1,500 Max, 80% UCR Major (with $1,500 Ortho) | DEN | PPO1500I80MOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4330 | Choice Incentive $1,500 Max, Max Allowable Charge Basic (without Ortho) | DEN | PPO1500IMAXBNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4331 | Choice Incentive $1,500 Max, Max Allowable Charge Basic (with $1,500 Ortho) | DEN | PPO1500IMAXBOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4332 | Choice Incentive $1,500 Max, 80% UCR Basic (without Ortho) | DEN | PPO1500I80BNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4333 | Choice Incentive $1,500 Max, 80% UCR Basic (with $1,500 Ortho) | DEN | PPO1500I80BOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4334 | Choice PPO Flip $1,000 Max, Max Allowable Charge Major (without Ortho) | DEN | PPO1000FMAXMNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4335 | Choice PPO Flip $1,000 Max, Max Allowable Charge Major (with $1,500 Ortho) | DEN | PPO1000FMAXMOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4336 | Choice PPO Flip $1,000 Max, 80% UCR Major (without Ortho) | DEN | PPO1000F80MNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4337 | Choice PPO Flip $1,000 Max, 80% UCR Major (with $1,500 Ortho) | DEN | PPO1000F80MOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4338 | Choice PPO Flip $1,000 Max, Max Allowable Charge Basic (without Ortho) | DEN | PPO1000FMAXBNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4339 | Choice PPO Flip $1,000 Max, Max Allowable Charge Basic (with $1,500 Ortho) | DEN | PPO1000FMAXBOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4340 | Choice PPO Flip $1,000 Max, 80% UCR Basic (without Ortho) | DEN | PPO1000F80BNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4341 | Choice PPO Flip $1,000 Max, 80% UCR Basic (with $1,500 Ortho) | DEN | PPO1000F80BOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4342 | Choice PPO Flip $1,500 Max, Max Allowable Charge Major (without Ortho) | DEN | PPO1500FMAXMNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4343 | Choice PPO Flip $1,500 Max, Max Allowable Charge Major (with $1,500 Ortho) | DEN | PPO1500FMAXMOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4344 | Choice PPO Flip $1,500 Max, 80% UCR Major (without Ortho) | DEN | PPO1500F80MNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4345 | Choice PPO Flip $1,500 Max, 80% UCR Major (with $1,500 Ortho) | DEN | PPO1500F80MOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4346 | Choice PPO Flip $1,500 Max, Max Allowable Charge Basic (without Ortho) | DEN | PPO1500FMAXBNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4347 | Choice PPO Flip $1,500 Max, Max Allowable Charge Basic (with $1,500 Ortho) | DEN | PPO1500FMAXBOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4348 | Choice PPO Flip $1,500 Max, 80% UCR Basic (without Ortho) | DEN | PPO1500F80BNV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| VA | D | N/A | 4349 | Choice PPO Flip $1,500 Max, 80% UCR Basic (with $1,500 Ortho) | DEN | PPO1500F80BOV | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | DQD | |
| MD | D | N/A | 5002 | Traditional Dental Plan 1 w/ $1200 ORTHO | DEN | 5002 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5003 | Traditional Dental Plan 3 w/ $1200 ORTHO | DEN | 5003 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5004 | Traditional Dental Plan 4 w/ $1200 ORTHO | DEN | 5004 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5005 | BlueDental Traditional ACA Compliant | DEN | 5005 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| VA | D | N/A | 5006 | Traditional Dental Plan 1 w/ $1200 ORTHO | DEN | 5006 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| VA | D | N/A | 5007 | Traditional Dental Plan 3 w/ $1200 ORTHO | DEN | 5007 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| VA | D | N/A | 5008 | Traditional Dental Plan 4 w/ $1200 ORTHO | DEN | 5008 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| VA | D | N/A | 5009 | BlueDental Preferred ACA Compliant | DEN | 5009 | N/A |
Benefits
| 4/1/2014 | 3/31/2016 | CAF | |
| VA | D | N/A | 5010 | BlueDental Traditional ACA Compliant | DEN | 5010 | N/A |
Benefits
| 4/1/2014 | 3/31/2016 | CAF | |
| DC | D | N/A | 5011 | Traditional Dental Plan 1 w/ $1200 ORTHO | DEN | 5011 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| DC | D | N/A | 5012 | Traditional Dental Plan 3 w/ $1200 ORTHO | DEN | 5012 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| DC | D | N/A | 5013 | Traditional Dental Plan 4 w/ $1200 ORTHO | DEN | 5013 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| DC | D | N/A | 5014 | BlueDental Preferred ACA Compliant | DEN | 5014 | N/A |
Benefits
| 4/1/2014 | 9/30/2016 | CAF | |
| DC | D | N/A | 5015 | BlueDental Traditional ACA Compliant | DEN | 5015 | N/A |
Benefits
| 4/1/2014 | 9/30/2016 | CAF | |
| MD | D | N/A | 5016 | BlueDental Preferred ACA Compliant | DEN | 5016 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5017 | Traditional Dental Plan 2 w/ $1200 ORTHO | DEN | 5017 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5018 | Preferred Dental PPO Plan 2 w/ $1200 ORTHO | DEN | 5018 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5019 | Preferred Dental PPO Plan 1 w/ $1200 ORTHO | DEN | 5019 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5020 | Preferred Dental PPO Plan 3 w/ $1200 ORTHO | DEN | 5020 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5021 | Preferred Dental PPO Plan 4 w/ $1200 ORTHO | DEN | 5021 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| DC | D | N/A | 5022 | Traditional Dental Plan 2 w/ $1200 ORTHO | DEN | 5022 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| DC | D | N/A | 5023 | Preferred Dental PPO Plan 2 w/ $1200 ORTHO | DEN | 5023 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| DC | D | N/A | 5024 | Preferred Dental PPO Plan 1 w/ $1200 ORTHO | DEN | 5024 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| DC | D | N/A | 5025 | Preferred Dental PPO Plan 3 w/ $1200 ORTHO | DEN | 5025 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| DC | D | N/A | 5026 | Preferred Dental PPO Plan 4 w/ $1200 ORTHO | DEN | 5026 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| VA | D | N/A | 5027 | Preferred Dental PPO Plan 2 w/ $1200 ORTHO | DEN | 5027 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| VA | D | N/A | 5028 | Traditional Dental Plan 2 w/ $1200 ORTHO | DEN | 5028 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| VA | D | N/A | 5029 | Preferred Dental PPO Plan 1 w/ $1200 ORTHO | DEN | 5029 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| VA | D | N/A | 5030 | Preferred Dental PPO Plan 3 w/ $1200 ORTHO | DEN | 5030 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| VA | D | N/A | 5031 | Preferred Dental PPO Plan 4 w/ $1200 ORTHO | DEN | 5031 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5032 | Traditional Dental Plan 1 w/ $1200 ORTHO (Freestanding) | DEN | 5032 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5033 | Traditional Dental Plan 3 w/ $1200 ORTHO (Freestanding) | DEN | 5033 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5034 | Traditional Dental Plan 4 w/ $1200 ORTHO (Freestanding) | DEN | 5034 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5035 | BlueDental Traditional ACA Compliant (Freestanding) | DEN | 5035 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| VA | D | N/A | 5036 | Traditional Dental Plan 1 w/ $1200 ORTHO (Freestanding) | DEN | 5036 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| VA | D | N/A | 5037 | Traditional Dental Plan 3 w/ $1200 ORTHO (Freestanding) | DEN | 5037 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| VA | D | N/A | 5038 | Traditional Dental Plan 4 w/ $1200 ORTHO (Freestanding) | DEN | 5038 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| VA | D | N/A | 5039 | BlueDental Preferred ACA Compliant (Freestanding) | DEN | 5039 | N/A |
Benefits
| 4/1/2014 | 12/31/2015 | CAF | |
| VA | D | N/A | 5040 | BlueDental Traditional ACA Compliant (Freestanding) | DEN | 5040 | N/A |
Benefits
| 4/1/2014 | 12/31/2015 | CAF | |
| DC | D | N/A | 5041 | Traditional Dental Plan 1 w/ $1200 ORTHO (Freestanding) | DEN | 5041 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| DC | D | N/A | 5042 | Traditional Dental Plan 3 w/ $1200 ORTHO (Freestanding) | DEN | 5042 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| DC | D | N/A | 5043 | Traditional Dental Plan 4 w/ $1200 ORTHO (Freestanding) | DEN | 5043 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| DC | D | N/A | 5044 | BlueDental Preferred ACA Compliant (Freestanding) | DEN | 5044 | N/A |
Benefits
| 4/1/2014 | 9/30/2016 | CAF | |
| DC | D | N/A | 5045 | BlueDental Traditional ACA Compliant (Freestanding) | DEN | 5045 | N/A |
Benefits
| 4/1/2014 | 9/30/2016 | CAF | |
| MD | D | N/A | 5046 | BlueDental Preferred ACA Compliant (Freestanding) | DEN | 5046 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5047 | Traditional Dental Plan 2 w/ $1200 ORTHO (Freestanding) | DEN | 5047 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5048 | Preferred Dental PPO Plan 2 w/ $1200 ORTHO (Freestanding) | DEN | 5048 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5049 | Preferred Dental PPO Plan 1 w/ $1200 ORTHO (Freestanding) | DEN | 5049 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5050 | Preferred Dental PPO Plan 3 w/ $1200 ORTHO (Freestanding) | DEN | 5050 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5051 | Preferred Dental PPO Plan 4 w/ $1200 ORTHO (Freestanding) | DEN | 5051 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| DC | D | N/A | 5052 | Traditional Dental Plan 2 w/ $1200 ORTHO (Freestanding) | DEN | 5052 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| DC | D | N/A | 5053 | Preferred Dental PPO Plan 2 w/ $1200 ORTHO (Freestanding) | DEN | 5053 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| DC | D | N/A | 5054 | Preferred Dental PPO Plan 1 w/ $1200 ORTHO (Freestanding) | DEN | 5054 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| DC | D | N/A | 5055 | Preferred Dental PPO Plan 3 w/ $1200 ORTHO (Freestanding) | DEN | 5055 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| DC | D | N/A | 5056 | Preferred Dental PPO Plan 4 w/ $1200 ORTHO (Freestanding) | DEN | 5056 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| VA | D | N/A | 5057 | Preferred Dental PPO Plan 2 w/ $1200 ORTHO (Freestanding) | DEN | 5057 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| VA | D | N/A | 5058 | Traditional Dental Plan 2 w/ $1200 ORTHO (Freestanding) | DEN | 5058 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| VA | D | N/A | 5059 | Preferred Dental PPO Plan 1 w/ $1200 ORTHO (Freestanding) | DEN | 5059 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| VA | D | N/A | 5060 | Preferred Dental PPO Plan 3 w/ $1200 ORTHO (Freestanding) | DEN | 5060 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| VA | D | N/A | 5061 | Preferred Dental PPO Plan 4 w/ $1200 ORTHO (Freestanding) | DEN | 5061 | N/A |
Benefits
| 4/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5062 | Traditional Dental Plan 4 | DEN | 5062 | N/A |
Benefits
| 7/1/2014 | 12/31/2016 | CAF | |
| DC | D | N/A | 5063 | Traditional Dental Plan 4 | DEN | 5063 | N/A |
Benefits
| 7/1/2014 | 12/31/2016 | CAF | |
| VA | D | N/A | 5064 | Traditional Dental Plan 4 | DEN | 5064 | N/A |
Benefits
| 7/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5065 | Traditional Dental Plan 4 (Freestanding) | DEN | 5065 | N/A |
Benefits
| 7/1/2014 | 12/31/2016 | CAF | |
| DC | D | N/A | 5066 | Traditional Dental Plan 4 (Freestanding) | DEN | 5066 | N/A |
Benefits
| 7/1/2014 | 12/31/2015 | CAF | |
| VA | D | N/A | 5067 | Traditional Dental Plan 4 (Freestanding) | DEN | 5067 | N/A |
Benefits
| 7/1/2014 | 12/31/2016 | CAF | |
| MD | D | N/A | 5100 | Traditional Dental Plan Option 1 | DEN | 5100 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5101 | Traditional Dental Plan Option 1 (Freestanding) | DEN | 5101 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5102 | Traditional Dental Plan Option 2 | DEN | 5102 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5103 | Traditional Dental Plan Option 2 (Freestanding) | DEN | 5103 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5104 | Traditional Dental Plan Option 3 | DEN | 5104 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5105 | Traditional Dental Plan Option 3 (Freestanding) | DEN | 5105 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5106 | Preferred Dental PPO Option 1 | DEN | 5106 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5107 | Preferred Dental PPO Option 1 (Freestanding) | DEN | 5107 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5108 | Preferred Dental PPO Option 2 | DEN | 5108 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5109 | Preferred Dental PPO Option 2 (Freestanding) | DEN | 5109 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5110 | Preferred Dental PPO Option 3 | DEN | 5110 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5111 | Preferred Dental PPO Option 3 (Freestanding) | DEN | 5111 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5112 | Preferred Dental PPO Option 4 | DEN | 5112 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5113 | Preferred Dental PPO Option 4 (Freestanding) | DEN | 5113 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5114 | DHMO RIDERS DHMO Option 1 | DEN | 5114 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5115 | DHMO RIDERS DHMO Option 1 (Freestanding) | DEN | 5115 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5116 | DHMO RIDERS DHMO Option 2 | DEN | 5116 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5117 | DHMO RIDERS DHMO Option 2 (Freestanding) | DEN | 5117 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5118 | DHMO RIDERS DHMO Option 3 | DEN | 5118 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5119 | DHMO RIDERS DHMO Option 3 (Freestanding) | DEN | 5119 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5120 | DHMO RIDERS Plan 20 | DEN | 5120 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5121 | DHMO RIDERS Plan 20 (Freestanding) | DEN | 5121 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5122 | DHMO RIDERS Plan 10 | DEN | 5122 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5123 | DHMO RIDERS Plan 10 (Freestanding) | DEN | 5123 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5124 | DHMO OPT-OUT RIDERS DHMO Option 1 Opt-Out | DEN | 5124 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5125 | DHMO OPT-OUT RIDERS DHMO Option 1 Opt-Out (Freestanding) | DEN | 5125 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5126 | DHMO OPT-OUT RIDERS DHMO Option 2 Opt-Out | DEN | 5126 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5127 | DHMO OPT-OUT RIDERS DHMO Option 2 Opt-Out (Freestanding) | DEN | 5127 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5128 | DHMO OPT-OUT RIDERS DHMO Option 3 Opt-Out | DEN | 5128 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5129 | DHMO OPT-OUT RIDERS DHMO Option 3 Opt-Out (Freestanding) | DEN | 5129 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5130 | DHMO OPT-OUT RIDERS DHMO PLAN 20 Opt-Out | DEN | 5130 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5131 | DHMO OPT-OUT RIDERS DHMO PLAN 20 Opt-Out (Freestanding) | DEN | 5131 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5132 | DHMO OPT-OUT RIDERS DHMO PLAN 10 Opt-Out | DEN | 5132 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5133 | DHMO OPT-OUT RIDERS DHMO PLAN 10 Opt-Out (Freestanding) | DEN | 5133 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5134 | Traditional Dental Plan Option 1 | DEN | 5134 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5135 | Traditional Dental Plan Option 2 | DEN | 5135 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5137 | Traditional Dental Plan Option 2 (Freestanding) | DEN | 5137 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5138 | Traditional Dental Plan Option 3 | DEN | 5138 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5139 | Traditional Dental Plan Option 3 (Freestanding) | DEN | 5139 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5140 | Preferred Dental PPO Option 1 | DEN | 5140 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5141 | Preferred Dental PPO Option 1 (Freestanding) | DEN | 5141 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5142 | Preferred Dental PPO Option 2 | DEN | 5142 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5143 | Preferred Dental PPO Option 2 (Freestanding) | DEN | 5143 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5144 | Preferred Dental PPO Option 3 | DEN | 5144 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5145 | Preferred Dental PPO Option 3 (Freestanding) | DEN | 5145 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5146 | Preferred Dental PPO Option 4 | DEN | 5146 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5147 | Preferred Dental PPO Option 4 (Freestanding) | DEN | 5147 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5148 | DHMO RIDERS DHMO Plan 20 | DEN | 5148 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | D | N/A | 5149 | DHMO RIDERS DHMO Plan 20 (Freestanding) | DEN | 5149 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | D | N/A | 5150 | DHMO RIDERS DHMO Plan 10 | DEN | 5150 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | D | N/A | 5151 | DHMO RIDERS DHMO Plan 10 (Freestanding) | DEN | 5151 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | D | N/A | 5152 | DHMO OPT-OUT RIDERS DHMO PLAN 20 Opt-Out | DEN | 5152 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | D | N/A | 5153 | DHMO OPT-OUT RIDERS DHMO PLAN 20 Opt-Out (Freestanding) | DEN | 5153 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | D | N/A | 5154 | DHMO OPT-OUT RIDERS DHMO PLAN 10 Opt-Out | DEN | 5154 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | D | N/A | 5155 | DHMO OPT-OUT RIDERS DHMO PLAN 10 Opt-Out (Freestanding) | DEN | 5155 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5156 | Traditional Dental Plan Option 1 | DEN | 5156 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5157 | Traditional Dental Plan Option 1 (Freestanding) | DEN | 5157 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5158 | Traditional Dental Plan Option 2 | DEN | 5158 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5159 | Traditional Dental Plan Option 2 (Freestanding) | DEN | 5159 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5160 | Traditional Dental Plan Option 3 | DEN | 5160 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5161 | Traditional Dental Plan Option 3 (Freestanding) | DEN | 5161 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5162 | Preferred Dental PPO Option 1 | DEN | 5162 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5163 | Preferred Dental PPO Option 1 (Freestanding) | DEN | 5163 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5164 | Preferred Dental PPO Option 2 | DEN | 5164 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5165 | Preferred Dental PPO Option 2 (Freestanding) | DEN | 5165 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5166 | Preferred Dental PPO Option 3 | DEN | 5166 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5167 | Preferred Dental PPO Option 3 (Freestanding) | DEN | 5167 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5168 | Preferred Dental PPO Option 4 | DEN | 5168 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5169 | Preferred Dental PPO Option 4 (Freestanding) | DEN | 5169 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5170 | DHMO RIDERS DHMO Option 1 | DEN | 5170 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5171 | DHMO RIDERS DHMO Option 1 (Freestanding) | DEN | 5171 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5172 | DHMO RIDERS DHMO Option 2 | DEN | 5172 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5173 | DHMO RIDERS DHMO Option 2 (Freestanding) | DEN | 5173 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5174 | DHMO RIDERS DHMO Option 3 | DEN | 5174 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5175 | DHMO RIDERS DHMO Option 3 (Freestanding) | DEN | 5175 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5176 | DHMO RIDERS DHMO Plan 20 | DEN | 5176 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5177 | DHMO RIDERS DHMO Plan 20 (Freestanding) | DEN | 5177 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5178 | DHMO RIDERS DHMO Plan 10 | DEN | 5178 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5179 | DHMO RIDERS DHMO Plan 10 (Freestanding) | DEN | 5179 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5180 | DHMO OPT-OUT RIDERS DHMO Option 1 Opt-Out | DEN | 5180 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5181 | DHMO OPT-OUT RIDERS DHMO Option 1 Opt-Out (Freestanding) | DEN | 5181 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5182 | DHMO OPT-OUT RIDERS DHMO Option 2 Opt-Out | DEN | 5182 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5183 | DHMO OPT-OUT RIDERS DHMO Option 2 Opt-Out (Freestanding) | DEN | 5183 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5184 | DHMO OPT-OUT RIDERS DHMO Option 3 Opt-Out | DEN | 5184 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5185 | DHMO OPT-OUT RIDERS DHMO Option 3 Opt-Out (Freestanding) | DEN | 5185 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5186 | DHMO OPT-OUT RIDERS DHMO PLAN 20 Opt-Out | DEN | 5186 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5187 | DHMO OPT-OUT RIDERS DHMO PLAN 20 Opt-Out (Freestanding) | DEN | 5187 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5188 | DHMO OPT-OUT RIDERS DHMO PLAN 10 Opt-Out | DEN | 5188 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | D | N/A | 5189 | DHMO OPT-OUT RIDERS DHMO PLAN 10 Opt-Out (Freestanding) | DEN | 5189 | N/A |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | D | N/A | 5190 | Traditional Dental Plan Option 1 (Freestanding) | DEN | 5190 | N/A |
Benefits
| 1/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5200 | BlueDental Basic (Std Fee) | DEN | 5200 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5201 | BlueDental Basic (Std Fee) | DEN | 5201 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5202 | BlueDental Basic (Std Fee) | DEN | 5202 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5203 | BlueDental Plus Plan 1 (Std Fee) | DEN | 5203 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5204 | BlueDental Plus Plan 1 ORTHO (Std Fee) | DEN | 5204 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5205 | BlueDental Plus Plan 1 (90 Fee) | DEN | 5205 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5206 | BlueDental Plus Plan 1 ORTHO (90 Fee) | DEN | 5206 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5207 | BlueDental Plus Plan 2 (Std Fee) | DEN | 5207 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5208 | BlueDental Plus Plan 2 ORTHO (Std Fee) | DEN | 5208 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5209 | BlueDental Plus Plan 2 (90 Fee) | DEN | 5209 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5210 | BlueDental Plus Plan 2 ORTHO (90 Fee) | DEN | 5210 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5211 | BlueDental Plus Plan 3 (Std Fee) | DEN | 5211 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5212 | BlueDental Plus Plan 3 ORTHO (Std Fee) | DEN | 5212 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5213 | BlueDental Plus Plan 3 (90 Fee) | DEN | 5213 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5214 | BlueDental Plus Plan 3 ORTHO (90 Fee) | DEN | 5214 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5215 | BlueDental Plus Plan 4 (Std Fee) | DEN | 5215 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5216 | BlueDental Plus Plan 4 ORTHO (Std Fee) | DEN | 5216 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5217 | BlueDental Plus Plan 4 (90 Fee) | DEN | 5217 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5218 | BlueDental Plus Plan 4 ORTHO (90 Fee) | DEN | 5218 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5219 | BlueDental Plus Plan 5 (Std Fee) | DEN | 5219 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5220 | BlueDental Plus Plan 5 ORTHO (Std Fee) | DEN | 5220 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5221 | BlueDental Plus Plan 5 (90 Fee) | DEN | 5221 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5222 | BlueDental Plus Plan 5 ORTHO (90 Fee) | DEN | 5222 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5223 | BlueDental Plus Plan 6 (Std Fee) | DEN | 5223 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5224 | BlueDental Plus Plan 6 ORTHO (Std Fee) | DEN | 5224 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5225 | BlueDental Plus Plan 6 (90 Fee) | DEN | 5225 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5226 | BlueDental Plus Plan 6 ORTHO (90 Fee) | DEN | 5226 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5227 | BlueDental Plus Plan 7 (Std Fee) | DEN | 5227 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5228 | BlueDental Plus Plan 7 ORTHO (Std Fee) | DEN | 5228 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5229 | BlueDental Plus Plan 7 (90 Fee) | DEN | 5229 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5230 | BlueDental Plus Plan 7 ORTHO (90 Fee) | DEN | 5230 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5231 | BlueDental Plus Plan 8 (Std Fee) | DEN | 5231 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5232 | BlueDental Plus Plan 8 ORTHO (Std Fee) | DEN | 5232 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5233 | BlueDental Plus Plan 8 (90 Fee) | DEN | 5233 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5234 | BlueDental Plus Plan 8 ORTHO (90 Fee) | DEN | 5234 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5235 | BlueDental Plus Plan 1 (Std Fee) | DEN | 5235 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5236 | BlueDental Plus Plan 1 ORTHO (Std Fee) | DEN | 5236 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5237 | BlueDental Plus Plan 1 (90 Fee) | DEN | 5237 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5238 | BlueDental Plus Plan 1 ORTHO (90 Fee) | DEN | 5238 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5239 | BlueDental Plus Plan 2 (Std Fee) | DEN | 5239 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5240 | BlueDental Plus Plan 2 ORTHO (Std Fee) | DEN | 5240 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5241 | BlueDental Plus Plan 2 (90 Fee) | DEN | 5241 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5242 | BlueDental Plus Plan 2 ORTHO (90 Fee) | DEN | 5242 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5243 | BlueDental Plus Plan 3 (Std Fee) | DEN | 5243 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5244 | BlueDental Plus Plan 3 ORTHO (Std Fee) | DEN | 5244 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5245 | BlueDental Plus Plan 3 (90 Fee) | DEN | 5245 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5246 | BlueDental Plus Plan 3 ORTHO (90 Fee) | DEN | 5246 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5247 | BlueDental Plus Plan 4 (Std Fee) | DEN | 5247 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5248 | BlueDental Plus Plan 4 ORTHO (Std Fee) | DEN | 5248 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5249 | BlueDental Plus Plan 4 (90 Fee) | DEN | 5249 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5250 | BlueDental Plus Plan 4 ORTHO (90 Fee) | DEN | 5250 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5251 | BlueDental Plus Plan 5 (Std Fee) | DEN | 5251 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5252 | BlueDental Plus Plan 5 ORTHO (Std Fee) | DEN | 5252 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5253 | BlueDental Plus Plan 5 (90 Fee) | DEN | 5253 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5254 | BlueDental Plus Plan 5 ORTHO (90 Fee) | DEN | 5254 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5255 | BlueDental Plus Plan 6 (Std Fee) | DEN | 5255 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5256 | BlueDental Plus Plan 6 ORTHO (Std Fee) | DEN | 5256 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5257 | BlueDental Plus Plan 6 (90 Fee) | DEN | 5257 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5258 | BlueDental Plus Plan 6 ORTHO (90 Fee) | DEN | 5258 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5259 | BlueDental Plus Plan 7 (Std Fee) | DEN | 5259 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5260 | BlueDental Plus Plan 7 ORTHO (Std Fee) | DEN | 5260 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5261 | BlueDental Plus Plan 7 (90 Fee) | DEN | 5261 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5262 | BlueDental Plus Plan 7 ORTHO (90 Fee) | DEN | 5262 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5263 | BlueDental Plus Plan 8 (Std Fee) | DEN | 5263 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5264 | BlueDental Plus Plan 8 ORTHO (Std Fee) | DEN | 5264 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5265 | BlueDental Plus Plan 8 (90 Fee) | DEN | 5265 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| DC | D | N/A | 5266 | BlueDental Plus Plan 8 ORTHO (90 Fee) | DEN | 5266 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5267 | BlueDental Plus Plan 1 (Std Fee) | DEN | 5267 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5268 | BlueDental Plus Plan 1 ORTHO (Std Fee) | DEN | 5268 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5269 | BlueDental Plus Plan 1 (90 Fee) | DEN | 5269 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5270 | BlueDental Plus Plan 1 ORTHO (90 Fee) | DEN | 5270 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5271 | BlueDental Plus Plan 2 (Std Fee) | DEN | 5271 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5272 | BlueDental Plus Plan 2 ORTHO (Std Fee) | DEN | 5272 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5273 | BlueDental Plus Plan 2 (90 Fee) | DEN | 5273 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5274 | BlueDental Plus Plan 2 ORTHO (90 Fee) | DEN | 5274 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5275 | BlueDental Plus Plan 3 (Std Fee) | DEN | 5275 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5276 | BlueDental Plus Plan 3 ORTHO (Std Fee) | DEN | 5276 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5277 | BlueDental Plus Plan 3 (90 Fee) | DEN | 5277 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5278 | BlueDental Plus Plan 3 ORTHO (90 Fee) | DEN | 5278 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5279 | BlueDental Plus Plan 4 (Std Fee) | DEN | 5279 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5280 | BlueDental Plus Plan 4 ORTHO (Std Fee) | DEN | 5280 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5281 | BlueDental Plus Plan 4 (90 Fee) | DEN | 5281 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5282 | BlueDental Plus Plan 4 ORTHO (90 Fee) | DEN | 5282 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5283 | BlueDental Plus Plan 5 (Std Fee) | DEN | 5283 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5284 | BlueDental Plus Plan 5 ORTHO (Std Fee) | DEN | 5284 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5285 | BlueDental Plus Plan 5 (90 Fee) | DEN | 5285 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5286 | BlueDental Plus Plan 5 ORTHO (90 Fee) | DEN | 5286 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5287 | BlueDental Plus Plan 6 (Std Fee) | DEN | 5287 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5288 | BlueDental Plus Plan 6 ORTHO (Std Fee) | DEN | 5288 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5289 | BlueDental Plus Plan 6 (90 Fee) | DEN | 5289 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5290 | BlueDental Plus Plan 6 ORTHO (90 Fee) | DEN | 5290 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5291 | BlueDental Plus Plan 7 (Std Fee) | DEN | 5291 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5292 | BlueDental Plus Plan 7 ORTHO (Std Fee) | DEN | 5292 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5293 | BlueDental Plus Plan 7 (90 Fee) | DEN | 5293 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5294 | BlueDental Plus Plan 7 ORTHO (90 Fee) | DEN | 5294 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5295 | BlueDental Plus Plan 8 (Std Fee) | DEN | 5295 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5296 | BlueDental Plus Plan 8 ORTHO (Std Fee) | DEN | 5296 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5297 | BlueDental Plus Plan 8 (90 Fee) | DEN | 5297 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| VA | D | N/A | 5298 | BlueDental Plus Plan 8 ORTHO (90 Fee) | DEN | 5298 | N/A |
Benefits
| 7/1/2015 | 12/31/2021 | CAF | |
| MD | D | N/A | 5299 | BlueDental Plus Voluntary Plan 1 (FS avail) | DEN | 5299 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5300 | BlueDental Plus Voluntary Plan 1 (FS avail) ORTHO | DEN | 5300 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5301 | BlueDental Plus Voluntary Plan 2 (FS avail) | DEN | 5301 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5302 | BlueDental Plus Voluntary Plan 2 (FS avail) ORTHO | DEN | 5302 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5303 | BlueDental Plus Voluntary Plan 3 (FS avail) | DEN | 5303 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5304 | BlueDental Plus Voluntary Plan 3 (FS avail) ORTHO | DEN | 5304 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5305 | BlueDental Plus Voluntary Plan 4 (FS avail) | DEN | 5305 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5306 | BlueDental Plus Voluntary Plan 4 (FS avail) ORTHO | DEN | 5306 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5307 | BlueDental Plus Voluntary Plan 1 (FS avail) | DEN | 5307 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5308 | BlueDental Plus Voluntary Plan 1 (FS avail) ORTHO | DEN | 5308 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5309 | BlueDental Plus Voluntary Plan 2 (FS avail) | DEN | 5309 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5310 | BlueDental Plus Voluntary Plan 2 (FS avail) ORTHO | DEN | 5310 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5311 | BlueDental Plus Voluntary Plan 3 (FS avail) | DEN | 5311 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5312 | BlueDental Plus Voluntary Plan 3 (FS avail) ORTHO | DEN | 5312 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5313 | BlueDental Plus Voluntary Plan 4 (FS avail) | DEN | 5313 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| DC | D | N/A | 5314 | BlueDental Plus Voluntary Plan 4 (FS avail) ORTHO | DEN | 5314 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5315 | BlueDental Plus Voluntary Plan 1 (FS avail) | DEN | 5315 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5316 | BlueDental Plus Voluntary Plan 1 (FS avail) ORTHO | DEN | 5316 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5317 | BlueDental Plus Voluntary Plan 2 (FS avail) | DEN | 5317 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5318 | BlueDental Plus Voluntary Plan 2 (FS avail) ORTHO | DEN | 5318 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5319 | BlueDental Plus Voluntary Plan 3 (FS avail) | DEN | 5319 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5320 | BlueDental Plus Voluntary Plan 3 (FS avail) ORTHO | DEN | 5320 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5321 | BlueDental Plus Voluntary Plan 4 (FS avail) | DEN | 5321 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| VA | D | N/A | 5322 | BlueDental Plus Voluntary Plan 4 (FS avail) ORTHO | DEN | 5322 | N/A |
Benefits
| 7/1/2015 | 12/31/2016 | CAF | |
| MD | D | N/A | 5323 | BlueDHMO Option 1 - $0 copay (FS avail) | DEN | 5323 | N/A |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | D | N/A | 5324 | BlueDHMO Option 2 - $10 copay (FS avail) | DEN | 5324 | N/A |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | D | N/A | 5327 | BlueDHMO Option 1 - $0 copay (FS avail) | DEN | 5327 | N/A |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | D | N/A | 5328 | BlueDHMO Option 2 - $10 copay (FS avail) | DEN | 5328 | N/A |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | D | N/A | 5331 | BlueDHMO Option 1 - $0 copay (FS avail) | DEN | 5331 | N/A |
Benefits
| 1/1/2016 | 3/31/2016 | CAF | |
| VA | D | N/A | 5332 | BlueDHMO Option 2 - $10 copay (FS avail) | DEN | 5332 | N/A |
Benefits
| 1/1/2016 | 3/31/2016 | CAF | |
| MD | D | N/A | 5333 | BlueDental EPO | DEN | 5333 | N/A |
Benefits
| 6/1/2019 | 7/31/2021 | CAF | |
| MD | D | N/A | 5334 | BlueDental EPO w/Ortho | DEN | 5334 | N/A |
Benefits
| 6/1/2019 | 7/31/2021 | CAF | |
| DC | D | N/A | 5335 | BlueDental EPO | DEN | 5335 | N/A |
Benefits
| 6/1/2019 | 7/31/2021 | CAF | |
| DC | D | N/A | 5336 | BlueDental EPO w/Ortho | DEN | 5336 | N/A |
Benefits
| 6/1/2019 | 7/31/2021 | CAF | |
| VA | D | N/A | 5337 | BlueDental EPO | DEN | 5337 | N/A |
Benefits
| 6/1/2019 | 7/31/2021 | CAF | |
| VA | D | N/A | 5338 | BlueDental EPO w/Ortho | DEN | 5338 | N/A |
Benefits
| 6/1/2019 | 7/31/2021 | CAF | |
| MD | D | N/A | 5400 | BlueDental Preferred ACA Compliant (Freestanding Only) | DEN | 5400 | N/A |
Benefits
| 1/1/2017 | 6/30/2019 | CAF | |
| MD | D | N/A | 5401 | BlueDental Traditional ACA Compliant (Freestanding Only) | DEN | 5401 | N/A |
Benefits
| 1/1/2017 | 6/30/2019 | CAF | |
| DC | D | N/A | 5402 | BlueDental Preferred ACA Compliant (Freestanding Only) | DEN | 5402 | N/A |
Benefits
| 1/1/2017 | 6/30/2019 | CAF | |
| DC | D | N/A | 5403 | BlueDental Traditional ACA Compliant (Freestanding Only) | DEN | 5403 | N/A |
Benefits
| 1/1/2017 | 6/30/2019 | CAF | |
| MD | D | N/A | 5404 | Preferred Dental PPO Plan 1 | DEN | 5404 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| MD | D | N/A | 5405 | Preferred Dental PPO Plan 2 | DEN | 5405 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| MD | D | N/A | 5406 | Preferred Dental PPO Plan 3 | DEN | 5406 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| MD | D | N/A | 5407 | Preferred Dental PPO Plan 4 | DEN | 5407 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| MD | D | N/A | 5408 | Preferred Dental PPO Plan 1 ORTHO | DEN | 5408 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| MD | D | N/A | 5409 | Preferred Dental PPO Plan 2 ORTHO | DEN | 5409 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| MD | D | N/A | 5410 | Preferred Dental PPO Plan 3 ORTHO | DEN | 5410 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| MD | D | N/A | 5411 | Preferred Dental PPO Plan 4 ORTHO | DEN | 5411 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| MD | D | N/A | 5412 | Traditional Dental Plan 1 ORTHO | DEN | 5412 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| MD | D | N/A | 5413 | Traditional Dental Plan 2 ORTHO | DEN | 5413 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| MD | D | N/A | 5414 | Traditional Dental Plan 3 ORTHO | DEN | 5414 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| MD | D | N/A | 5415 | Traditional Dental Plan 4 | DEN | 5415 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| MD | D | N/A | 5416 | Traditional Dental Plan 4 ORTHO | DEN | 5416 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| MD | D | N/A | 5417 | Traditional Dental Plan 1 | DEN | 5417 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| MD | D | N/A | 5418 | Traditional Dental Plan 2 | DEN | 5418 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| MD | D | N/A | 5419 | Traditional Dental Plan 3 | DEN | 5419 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| DC | D | N/A | 5420 | Preferred Dental PPO Option 1 | DEN | 5420 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| DC | D | N/A | 5421 | Preferred Dental PPO Option 2 | DEN | 5421 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| DC | D | N/A | 5422 | Preferred Dental PPO Option 3 | DEN | 5422 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| DC | D | N/A | 5423 | Preferred Dental PPO Option 4 | DEN | 5423 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| DC | D | N/A | 5424 | Preferred Dental PPO Plan 1 ORTHO | DEN | 5424 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| DC | D | N/A | 5425 | Preferred Dental PPO Plan 2 ORTHO | DEN | 5425 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| DC | D | N/A | 5426 | Preferred Dental PPO Plan 3 ORTHO | DEN | 5426 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| DC | D | N/A | 5427 | Preferred Dental PPO Plan 4 ORTHO | DEN | 5427 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| DC | D | N/A | 5428 | Traditional Dental Plan 1 ORTHO | DEN | 5428 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| DC | D | N/A | 5429 | Traditional Dental Plan 2 ORTHO | DEN | 5429 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| DC | D | N/A | 5430 | Traditional Dental Plan 3 ORTHO | DEN | 5430 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| DC | D | N/A | 5431 | Traditional Dental Plan 4 | DEN | 5431 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| DC | D | N/A | 5432 | Traditional Dental Plan 4 ORTHO | DEN | 5432 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| DC | D | N/A | 5433 | Traditional Dental Plan 1 | DEN | 5433 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| DC | D | N/A | 5434 | Traditional Dental Plan 2 | DEN | 5434 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| DC | D | N/A | 5435 | Traditional Dental Plan 3 | DEN | 5435 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| VA | D | N/A | 5436 | Preferred Dental PPO Plan 1 | DEN | 5436 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| VA | D | N/A | 5437 | Preferred Dental PPO Plan 2 | DEN | 5437 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| VA | D | N/A | 5438 | Preferred Dental PPO Plan 3 | DEN | 5438 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| VA | D | N/A | 5439 | Preferred Dental PPO Plan 4 | DEN | 5439 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| VA | D | N/A | 5440 | Preferred Dental PPO Plan 1 ORTHO | DEN | 5440 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| VA | D | N/A | 5441 | Preferred Dental PPO Plan 2 ORTHO | DEN | 5441 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| VA | D | N/A | 5442 | Preferred Dental PPO Plan 3 ORTHO | DEN | 5442 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| VA | D | N/A | 5443 | Preferred Dental PPO Plan 4 ORTHO | DEN | 5443 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| VA | D | N/A | 5444 | Traditional Dental Plan 1 ORTHO | DEN | 5444 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| VA | D | N/A | 5445 | Traditional Dental Plan 2 ORTHO | DEN | 5445 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| VA | D | N/A | 5446 | Traditional Dental Plan 3 ORTHO | DEN | 5446 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| VA | D | N/A | 5447 | Traditional Dental Plan 4 ORTHO | DEN | 5447 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| VA | D | N/A | 5448 | Traditional Dental Plan 1 | DEN | 5448 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| VA | D | N/A | 5449 | Traditional Dental Plan 2 | DEN | 5449 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| VA | D | N/A | 5450 | Traditional Dental Plan 3 | DEN | 5450 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| VA | D | N/A | 5451 | Traditional Dental Plan 4 | DEN | 5451 | N/A |
Benefits
| 1/1/2017 | 12/31/2021 | CAF | |
| VA | D | N/A | 5452 | BlueDental Preferred ACA Compliant (Freestanding Only) | DEN | 5452 | N/A |
Benefits
| 1/1/2017 | 9/30/2019 | CAF | |
| VA | D | N/A | 5453 | BlueDental Traditional ACA Compliant (Freestanding Only) | DEN | 5453 | N/A |
Benefits
| 1/1/2017 | 9/30/2019 | CAF | |
| MD | V | None | 5500 | Blue Vision Plus Option 3 (ER) | VIS | 5500 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| MD | V | None | 5501 | Blue Vision Plus Option 3 (FS/ER) | VIS | 5501 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| MD | V | None | 5502 | Blue Vision Plus Option 1 (ER) | VIS | 5502 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| MD | V | None | 5503 | Blue Vision Plus Option 1 (FS/ER) | VIS | 5503 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| MD | V | None | 5504 | Blue Vision Plus Option 4 (ER) | VIS | 5504 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| MD | V | None | 5505 | Blue Vision Plus Option 4 (FS/ER) | VIS | 5505 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| MD | V | None | 5506 | Blue Vision Plus Option 2 (ER) | VIS | 5506 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| MD | V | None | 5507 | Blue Vision Plus Option 2 (FS/ER) | VIS | 5507 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| MD | V | None | 5508 | Blue Vision Plus Option A (ER/VL) | VIS | 5508 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| MD | V | None | 5509 | Blue Vision Plus Option A (FS/ER/VL) | VIS | 5509 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| MD | V | None | 5510 | Blue Vision Plus Option B (ER/VL) | VIS | 5510 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| MD | V | None | 5511 | Blue Vision Plus Option B (FS/ER/VL) | VIS | 5511 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| MD | V | None | 5512 | Blue Vision Plus Option C (ER/VL) | VIS | 5512 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| MD | V | None | 5513 | Blue Vision Plus Option C (FS/ER/VL) | VIS | 5513 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| MD | V | None | 5514 | Blue Vision Plus Option D (ER/VL) | VIS | 5514 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| MD | V | None | 5515 | Blue Vision Plus Option D (FS/ER/VL) | VIS | 5515 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| DC | V | None | 5516 | Blue Vision Plus Option 3 (ER) | VIS | 5516 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| DC | V | None | 5517 | Blue Vision Plus Option 3 (FS/ER) | VIS | 5517 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| DC | V | None | 5518 | Blue Vision Plus Option 1 (ER) | VIS | 5518 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| DC | V | None | 5519 | Blue Vision Plus Option 1 (FS/ER) | VIS | 5519 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| DC | V | None | 5520 | Blue Vision Plus Option 4 (ER) | VIS | 5520 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| DC | V | None | 5521 | Blue Vision Plus Option 4 (FS/ER) | VIS | 5521 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| DC | V | None | 5522 | Blue Vision Plus Option 2 (ER) | VIS | 5522 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| DC | V | None | 5523 | Blue Vision Plus Option 2 (FS/ER) | VIS | 5523 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| DC | V | None | 5524 | Blue Vision Plus Option A (ER/VL) | VIS | 5524 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| DC | V | None | 5525 | Blue Vision Plus Option A (FS/ER/VL) | VIS | 5525 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| DC | V | None | 5526 | Blue Vision Plus Option B (ER/VL) | VIS | 5526 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| DC | V | None | 5527 | Blue Vision Plus Option B (FS/ER/VL) | VIS | 5527 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| DC | V | None | 5528 | Blue Vision Plus Option C (ER/VL) | VIS | 5528 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| DC | V | None | 5529 | Blue Vision Plus Option C (FS/ER/VL) | VIS | 5529 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| DC | V | None | 5530 | Blue Vision Plus Option D (ER/VL) | VIS | 5530 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| DC | V | None | 5531 | Blue Vision Plus Option D (FS/ER/VL) | VIS | 5531 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| VA | V | None | 5532 | Blue Vision Plus Option 3 (ER) | VIS | 5532 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| VA | V | None | 5533 | Blue Vision Plus Option 3 (FS/ER) | VIS | 5533 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| VA | V | None | 5534 | Blue Vision Plus Option 1 (ER) | VIS | 5534 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| VA | V | None | 5535 | Blue Vision Plus Option 1 (FS/ER) | VIS | 5535 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| VA | V | None | 5536 | Blue Vision Plus Option 4 (ER) | VIS | 5536 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| VA | V | None | 5537 | Blue Vision Plus Option 4 (FS/ER) | VIS | 5537 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| VA | V | None | 5538 | Blue Vision Plus Option 2 (ER) | VIS | 5538 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| VA | V | None | 5539 | Blue Vision Plus Option 2 (FS/ER) | VIS | 5539 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| VA | V | None | 5540 | Blue Vision Plus Option A (ER/VL) | VIS | 5540 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| VA | V | None | 5541 | Blue Vision Plus Option A (FS/ER/VL) | VIS | 5541 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| VA | V | None | 5542 | Blue Vision Plus Option B (ER/VL) | VIS | 5542 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| VA | V | None | 5543 | Blue Vision Plus Option B (FS/ER/VL) | VIS | 5543 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| VA | V | None | 5544 | Blue Vision Plus Option C (ER/VL) | VIS | 5544 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| VA | V | None | 5545 | Blue Vision Plus Option C (FS/ER/VL) | VIS | 5545 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| VA | V | None | 5546 | Blue Vision Plus Option D (ER/VL) | VIS | 5546 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| VA | V | None | 5547 | Blue Vision Plus Option D (FS/ER/VL) | VIS | 5547 | N/A |
Benefits
| 4/1/2014 | 6/30/2017 | CAF | |
| MD | V | None | 5600 | BlueVision Plus Option 1 (ER) | VIS | 5600 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| MD | V | None | 5601 | BlueVision Plus Option 1 (FS/ER) | VIS | 5601 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| MD | V | None | 5602 | BlueVision Plus Option 2 (ER) | VIS | 5602 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| MD | V | None | 5603 | BlueVision Plus Option 2 (FS/ER) | VIS | 5603 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| MD | V | None | 5604 | BlueVision Plus Option 3 (ER) | VIS | 5604 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| MD | V | None | 5605 | BlueVision Plus Option 3 (FS/ER) | VIS | 5605 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| MD | V | None | 5606 | BlueVision Plus Option 4 (ER) | VIS | 5606 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| MD | V | None | 5607 | BlueVision Plus Option 4 (FS/ER) | VIS | 5607 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| MD | V | None | 5608 | BlueVision Plus Option A (ER) Increased Allowances | VIS | 5608 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| MD | V | None | 5609 | BlueVision Plus Option A (FS/ER) Increased Allowances | VIS | 5609 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| MD | V | None | 5610 | BlueVision Plus Option A (VL) Increased Allowances | VIS | 5610 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| MD | V | None | 5611 | BlueVision Plus Option A (FS/VL) Increased Allowances | VIS | 5611 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| MD | V | None | 5612 | BlueVision Plus Option B (ER) Increased Allowances | VIS | 5612 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| MD | V | None | 5613 | BlueVision Plus Option B (FS/ER) Increased Allowances | VIS | 5613 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| MD | V | None | 5614 | BlueVision Plus Option B (VL) Increased Allowances | VIS | 5614 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| MD | V | None | 5615 | BlueVision Plus Option B (FS/VL) Increased Allowances | VIS | 5615 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| MD | V | None | 5616 | BlueVision Plus Option C (ER) Increased Allowances | VIS | 5616 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| MD | V | None | 5617 | BlueVision Plus Option C (FS/ER) Increased Allowances | VIS | 5617 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| MD | V | None | 5618 | BlueVision Plus Option C (VL) Increased Allowances | VIS | 5618 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| MD | V | None | 5619 | BlueVision Plus Option C (FS/VL) Increased Allowances | VIS | 5619 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| MD | V | None | 5620 | BlueVision Plus Option D (ER) Increased Allowances | VIS | 5620 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| MD | V | None | 5621 | BlueVision Plus Option D (FS/ER) Increased Allowances | VIS | 5621 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| MD | V | None | 5622 | BlueVision Plus Option D (VL) Increased Allowances | VIS | 5622 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| MD | V | None | 5623 | BlueVision Plus Option D (FS/VL) Increased Allowances | VIS | 5623 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| DC | V | None | 5624 | BlueVision Plus Option 1 (ER) | VIS | 5624 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| DC | V | None | 5625 | BlueVision Plus Option 1 (FS/ER) | VIS | 5625 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| DC | V | None | 5626 | BlueVision Plus Option 2 (ER) | VIS | 5626 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| DC | V | None | 5627 | BlueVision Plus Option 2 (FS/ER) | VIS | 5627 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| DC | V | None | 5628 | BlueVision Plus Option 3 (ER) | VIS | 5628 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| DC | V | None | 5629 | BlueVision Plus Option 3 (FS/ER) | VIS | 5629 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| DC | V | None | 5630 | BlueVision Plus Option 4 (ER) | VIS | 5630 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| DC | V | None | 5631 | BlueVision Plus Option 4 (FS/ER) | VIS | 5631 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| DC | V | None | 5632 | BlueVision Plus Option A (ER) Increased Allowances | VIS | 5632 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| DC | V | None | 5633 | BlueVision Plus Option A (FS/ER) Increased Allowances | VIS | 5633 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| DC | V | None | 5634 | BlueVision Plus Option A (VL) Increased Allowances | VIS | 5634 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| DC | V | None | 5635 | BlueVision Plus Option A (FS/VL) Increased Allowances | VIS | 5635 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| DC | V | None | 5636 | BlueVision Plus Option B (ER) Increased Allowances | VIS | 5636 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| DC | V | None | 5637 | BlueVision Plus Option B (FS/ER) Increased Allowances | VIS | 5637 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| DC | V | None | 5638 | BlueVision Plus Option B (VL) Increased Allowances | VIS | 5638 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| DC | V | None | 5639 | BlueVision Plus Option B (FS/VL) Increased Allowances | VIS | 5639 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| DC | V | None | 5640 | BlueVision Plus Option C (ER) Increased Allowances | VIS | 5640 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| DC | V | None | 5641 | BlueVision Plus Option C (FS/ER) Increased Allowances | VIS | 5641 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| DC | V | None | 5642 | BlueVision Plus Option C (VL) Increased Allowances | VIS | 5642 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| DC | V | None | 5643 | BlueVision Plus Option C (FS/VL) Increased Allowances | VIS | 5643 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| DC | V | None | 5644 | BlueVision Plus Option D (ER) Increased Allowances | VIS | 5644 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| DC | V | None | 5645 | BlueVision Plus Option D (FS/ER) Increased Allowances | VIS | 5645 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| DC | V | None | 5646 | BlueVision Plus Option D (VL) Increased Allowances | VIS | 5646 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| DC | V | None | 5647 | BlueVision Plus Option D (FS/VL) Increased Allowances | VIS | 5647 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| VA | V | None | 5648 | BlueVision Plus Option 1 (ER) | VIS | 5648 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| VA | V | None | 5649 | BlueVision Plus Option 1 (FS/ER) | VIS | 5649 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| VA | V | None | 5650 | BlueVision Plus Option 2 (ER) | VIS | 5650 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| VA | V | None | 5651 | BlueVision Plus Option 2 (FS/ER) | VIS | 5651 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| VA | V | None | 5652 | BlueVision Plus Option 3 (ER) | VIS | 5652 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| VA | V | None | 5653 | BlueVision Plus Option 3 (FS/ER) | VIS | 5653 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| VA | V | None | 5654 | BlueVision Plus Option 4 (ER) | VIS | 5654 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| VA | V | None | 5655 | BlueVision Plus Option 4 (FS/ER) | VIS | 5655 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| VA | V | None | 5656 | BlueVision Plus Option A (ER) Increased Allowances | VIS | 5656 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| VA | V | None | 5657 | BlueVision Plus Option A (FS/ER) Increased Allowances | VIS | 5657 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| VA | V | None | 5658 | BlueVision Plus Option A (VL) Increased Allowances | VIS | 5658 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| VA | V | None | 5659 | BlueVision Plus Option A (FS/VL) Increased Allowances | VIS | 5659 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| VA | V | None | 5660 | BlueVision Plus Option B (ER) Increased Allowances | VIS | 5660 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| VA | V | None | 5661 | BlueVision Plus Option B (FS/ER) Increased Allowances | VIS | 5661 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| VA | V | None | 5662 | BlueVision Plus Option B (VL) Increased Allowances | VIS | 5662 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| VA | V | None | 5663 | BlueVision Plus Option B (FS/VL) Increased Allowances | VIS | 5663 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| VA | V | None | 5664 | BlueVision Plus Option C (ER) Increased Allowances | VIS | 5664 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| VA | V | None | 5665 | BlueVision Plus Option C (FS/ER) Increased Allowances | VIS | 5665 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| VA | V | None | 5666 | BlueVision Plus Option C (VL) Increased Allowances | VIS | 5666 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| VA | V | None | 5667 | BlueVision Plus Option C (FS/VL) Increased Allowances | VIS | 5667 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| VA | V | None | 5668 | BlueVision Plus Option D (ER) Increased Allowances | VIS | 5668 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| VA | V | None | 5669 | BlueVision Plus Option D (FS/ER) Increased Allowances | VIS | 5669 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| VA | V | None | 5670 | BlueVision Plus Option D (VL) Increased Allowances | VIS | 5670 | N/A |
Benefits
| 1/1/2015 | 3/31/2021 | CAF | |
| VA | V | None | 5671 | BlueVision Plus Option D (FS/VL) Increased Allowances | VIS | 5671 | N/A |
Benefits
| 1/1/2015 | 12/31/2021 | CAF | |
| VA | M | Gold | 6000 | VA Innovation Health Gold HMO 500A | HMO | 14020957 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Gold | 6001 | VA Innovation Health Gold HMO 80% | HMO | 14020959 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Gold | 6002 | VA Innovation Health Gold HMO 1000 100% | HMO | 14020961 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 6003 | VA Innovation Health Silver HMO 2000 100% | HMO | 14020963 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 6004 | VA Innovation Health Silver HMO 2000 80% | HMO | 14020965 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 6005 | VA Innovation Health Silver HMO 2000 60% | HMO | 14020967 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Gold | 6006 | VA Innovation Health Gold Open HMO 500A | HMO | 14020969 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Gold | 6007 | VA Innovation Health Gold Open HMO 80% | HMO | 14020971 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Gold | 6008 | VA Innovation Health Gold Open HMO 1000 100% | HMO | 14020973 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 6009 | VA Innovation Health Silver Open HMO 2000 100% | HMO | 14020975 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 6010 | VA Innovation Health Silver Open HMO 2000 80% | HMO | 14020977 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 6011 | VA Innovation Health Silver Open HMO 2000 60% | HMO | 14020979 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 6012 | VA Innovation Health Silver Open HMO 2000 100% HSA | HMO | 14020981 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 6013 | VA Innovation Health Silver Open HMO 2000 90% HSA | HMO | 14020983 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Bronze | 6014 | VA Innovation Health Bronze Open HMO 2800 HSA | HMO | 14020985 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Bronze | 6015 | VA Innovation Health Bronze Open HMO 4500 100% HSA | HMO | 14020987 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Gold | 6016 | VA Innovation Health Gold PPO 100/50 500A | PPO | 14020989 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Gold | 6017 | VA Innovation Health Gold PPO 80/50 | PPO | 14020991 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Gold | 6018 | VA Innovation Health Gold PPO 1000 100/50 | PPO | 14020993 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 6019 | VA Innovation Health Silver PPO 2000 100/50 | PPO | 14020995 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 6020 | VA Innovation Health Silver PPO 2000 80/50 | PPO | 14020996 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 6021 | VA Innovation Health Silver PPO 2000 60/50 | PPO | 14020998 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 6022 | VA Innovation Health Silver PPO 2000 100/50 HSA | PPO | 14021000 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 6023 | VA Innovation Health Silver PPO 2000 90/50 HSA | PPO | 14021002 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Bronze | 6024 | VA Innovation Health Bronze PPO 2800 HSA | PPO | 14021004 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Bronze | 6025 | VA Innovation Health Bronze PPO 4500 100/50 HSA | PPO | 14021006 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| VA | M | Silver | 6026 | VA Innovation Health Silver Indemnity 2000 80% | XXX | 14021008 | ? |
Benefits
| 4/1/2014 | 6/30/2014 | AET | |
| DC | D | N/A | 7000 | Option 5 Active PPO | DEN | 60232 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7001 | Option 6 Consumer Directed DentalFund PPO | DEN | 60236 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7002 | Option 2 DMO Access | DEN | 61053 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7003 | Option 3 Freedom of Choice DMO/PPO | DEN | 60217 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7004 | Option 7 PPO Max 1000 | DEN | 61055 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7005 | Option 4 PPO Max 1500 | DEN | 60219 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7006 | Option 8 Preventive Care PPO Max | DEN | 61056 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7007 | Option 5 Active PPO | DEN | 60292 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7008 | Option 6 Consumer Directed DentalFund PPO | DEN | 60296 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7010 | Option 7 PPO Max 1000 | DEN | 61042 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7012 | Option 8 Preventive Care PPO Max | DEN | 61043 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7013 | Option 5 Active PPO | DEN | 60382 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7014 | Option 6 Consumer Directed DentalFund PPO | DEN | 60386 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7015 | Option 3 Freedom of Choice DMO/PPO | DEN | 60367 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7016 | Option 7 PPO Max 1000 | DEN | 61050 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7017 | Option 4 PPO Max 1500 | DEN | 60369 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7018 | Option 8 Preventive Care PPO Max | DEN | 61051 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7020 | Option 10A PPO 1500 Plus Ortho | DEN | 61486 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7022 | Option 11A PPO Max 2000 Ortho | DEN | 61488 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7024 | Option 12A PPO 2000 90th Ortho | DEN | 61490 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7026 | Option 3A Freedom of Choice PPO Max DMO/PPO Ortho | DEN | 61472 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7028 | Option 4A Freedom of Choice PPO DMO/PPO Ortho | DEN | 61474 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7030 | Option 6A PPO Max 1500 Ortho | DEN | 61478 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7032 | Option 8A Active PPO Ortho | DEN | 61482 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7034 | PPO 1500 Plus Ortho | DEN | 61534 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7036 | PPO Max 2000 Ortho | DEN | 61536 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7038 | PPO 2000 90th Ortho | DEN | 61538 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7040 | FOC PPO Max DMO/PPO Ortho | DEN | 61520 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7042 | FOC PPO DMO/PPO Ortho | DEN | 61522 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7044 | PPO Max 1500 Ortho | DEN | 61526 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7046 | Active PPO Ortho | DEN | 61530 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7047 | Option 2 DMO Access | DEN | 61040 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7048 | Option 2 DMO Access | DEN | 61048 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7049 | Option 9 Freedom of Choice PPO 80th DMO/PPO | DEN | 61863 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7050 | Option 10 PPO 1500 80th | DEN | 61865 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7053 | Option 9 Freedom of Choice PPO 80th DMO/PPO | DEN | 61859 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7054 | Option 10 PPO 1500 80th | DEN | 61861 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7057 | Option 9 Freedom of Choice PPO 80th DMO/PPO | DEN | 61855 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7058 | Option 10 PPO 1500 80th | DEN | 61857 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7060 | Option 4 PPO Max 1500 | DEN | 60279 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7061 | Option 10A PPO 1500 Plus | DEN | 61485 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7062 | xxx | DEN | xxx | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7065 | Option 11A PPO Max 2000 | DEN | 61487 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7066 | Option 12A PPO 2000 90th | DEN | 61489 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7067 | Option 1A DMO 100/80/50 | DEN | 61467 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7068 | Option 1A DMO 100/80/50 Ortho | DEN | 61468 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7069 | Option 2A DMO 100/100/60 | DEN | 61469 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7070 | Option 2A DMO 100/100/60 Ortho | DEN | 61470 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7071 | Option 3A Freedom of Choice PPO Max DMO/PPO | DEN | 61471 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7072 | Option 4A Freedom of Choice PPO DMO/PPO | DEN | 61473 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7073 | Option 5A PPO Max 1000 | DEN | 61475 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7074 | Option 5A PPO Max 1000 Ortho | DEN | 61476 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7075 | Option 6A PPO Max 1500 | DEN | 61477 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7076 | Option 7A Active PPO Max | DEN | 61479 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7077 | Option 7A Active PPO Max Ortho | DEN | 61480 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7078 | Option 8A Active PPO | DEN | 61481 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7079 | Option 9A PPO 1500 | DEN | 61483 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| DC | D | N/A | 7080 | Option 9A PPO 1500 Ortho | DEN | 61484 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7081 | Option 3 Freedom of Choice DMO/PPO | DEN | 60277 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7082 | DMO 100/80/50 | DEN | 61491 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7083 | DMO 100/80/50 Ortho | DEN | 61492 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7084 | DMO 100/100/60 | DEN | 61493 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7085 | DMO 100/100/60 Ortho | DEN | 61494 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7086 | FOC PPO Max DMO/PPO | DEN | 61495 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7087 | FOC PPO Max DMO/PPO Ortho | DEN | 61496 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7088 | FOC PPO DMO/PPO | DEN | 61497 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7089 | FOC PPO DMO/PPO Ortho | DEN | 61498 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7090 | PPO Max 1000 | DEN | 61499 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7091 | PPO Max 1000 Ortho | DEN | 61500 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7092 | PPO Max 1500 | DEN | 61501 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7093 | PPO Max 1500 Ortho | DEN | 61502 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7094 | Active PPO Max | DEN | 61503 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7095 | Active PPO Max Ortho | DEN | 61504 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7096 | Active PPO | DEN | 61505 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7097 | Active PPO Ortho | DEN | 61506 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7098 | PPO 1500 | DEN | 61507 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7099 | PPO 1500 Ortho | DEN | 61508 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7100 | PPO 1500 Plus | DEN | 61509 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7101 | PPO 1500 Plus Ortho | DEN | 61510 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7102 | PPO Max 2000 | DEN | 61511 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7103 | PPO Max 2000 Ortho | DEN | 61512 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7104 | PPO 2000 90th | DEN | 61513 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7105 | PPO 2000 90th Ortho | DEN | 61514 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7106 | PPO 1500 Plus | DEN | 61533 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7107 | PPO Max 2000 | DEN | 61535 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7108 | PPO 2000 90th | DEN | 61537 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7109 | DMO 100/80/50 | DEN | 61515 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7110 | DMO 100/80/50 Ortho | DEN | 61516 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7111 | DMO 100/100/60 | DEN | 61517 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7112 | DMO 100/100/60 Ortho | DEN | 61518 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7113 | FOC PPO Max DMO/PPO | DEN | 61519 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7114 | FOC PPO DMO/PPO | DEN | 61521 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7115 | PPO Max 1000 | DEN | 61523 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7116 | PPO Max 1000 Ortho | DEN | 61524 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7117 | PPO Max 1500 | DEN | 61525 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7118 | Active PPO Max | DEN | 61527 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7119 | Active PPO Max Ortho | DEN | 61528 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7120 | Active PPO | DEN | 61529 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7121 | PPO 1500 | DEN | 61531 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| VA | D | N/A | 7122 | PPO 1500 Ortho | DEN | 61532 | N/A |
Benefits
| 7/1/2014 | 12/31/2014 | AED | |
| MD | D | N/A | 7200 | PPO Max 1500 | DEN | 60279 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| MD | D | N/A | 7201 | PPO Max 1000 | DEN | 61042 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| MD | D | N/A | 7202 | FOC - DMO/PPO 1500 | DEN | 61855 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| MD | D | N/A | 7203 | DMO Copay 73I | DEN | 69306 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| MD | D | N/A | 7204 | FOC - DMO Copay 73I /PPO Max 1000 | DEN | 69307 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| MD | D | N/A | 7205 | PPO Max 100/50 | DEN | 69309 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| MD | D | N/A | 7206 | PPO Max 100/80 | DEN | 69311 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| MD | D | N/A | 7207 | Active PPO Max 1500 | DEN | 69313 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| MD | D | N/A | 7208 | PPO 1000 | DEN | 69315 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| MD | D | N/A | 7209 | PPO 1500 | DEN | 69317 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| VA | D | N/A | 7210 | DNO Copay 73I | DEN | 69332 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| VA | D | N/A | 7211 | FOC - DNO Copay 73I /PPO Max 1000 | DEN | 69333 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| VA | D | N/A | 7212 | PPO Max 100/50 | DEN | 69335 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| VA | D | N/A | 7213 | PPO Max 100/80 | DEN | 69337 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| VA | D | N/A | 7214 | Active PPO Max 1500 | DEN | 69339 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| VA | D | N/A | 7215 | PPO 1000 | DEN | 69341 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| VA | D | N/A | 7216 | PPO 1500 | DEN | 69343 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| VA | D | N/A | 7217 | PPO Max 1500 | DEN | 60369 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| VA | D | N/A | 7218 | PPO Max 1000 | DEN | 61050 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| VA | D | N/A | 7219 | FOC - DNO/PPO 1500 | DEN | 61859 | N/A |
Benefits
| 1/1/2015 | 3/31/2018 | AED | |
| AA | D | N/A | 8000 | Choice 7600 Select DHMO (Dual option with any 7600 PPO) | DEN | 8000 | N/A |
Benefits
| 4/1/2014 | 3/31/2016 | DOM | |
| AA | D | N/A | 8001 | Choice 7600 Standard Access PPO (Dual option with DHMO) | DEN | 8001 | N/A |
Benefits
| 4/1/2014 | 3/31/2016 | DOM | |
| AA | D | N/A | 8003 | Choice 7600 Active Access PPO (Dual option with DHMO) | DEN | 8003 | N/A |
Benefits
| 4/1/2014 | 3/31/2016 | DOM | |
| AA | D | N/A | 8005 | Choice 7600 MAC Access PPO (Dual option with DHMO) | DEN | 8005 | N/A |
Benefits
| 4/1/2014 | 3/31/2016 | DOM | |
| AA | D | N/A | 8007 | Choice 7600 Plus Access PPO (Dual option with DHMO) | DEN | 8007 | N/A |
Benefits
| 4/1/2014 | 3/31/2016 | DOM | |
| AA | D | N/A | 8008 | Choice 7500 Select DHMO (Dual option with any 7500 PPO) | DEN | 8008 | N/A |
Benefits
| 4/1/2014 | 3/31/2016 | DOM | |
| AA | D | N/A | 8009 | Choice 7500 Standard Access PPO (Dual option with DHMO) | DEN | 8009 | N/A |
Benefits
| 4/1/2014 | 3/31/2016 | DOM | |
| AA | D | N/A | 8011 | Choice 7500 Active Access PPO (Dual option with DHMO) | DEN | 8011 | N/A |
Benefits
| 4/1/2014 | 3/31/2016 | DOM | |
| AA | D | N/A | 8013 | Choice 7500 MAC Access PPO (Dual option with DHMO) | DEN | 8013 | N/A |
Benefits
| 4/1/2014 | 3/31/2016 | DOM | |
| AA | D | N/A | 8015 | Choice 7500 Plus Access PPO (Dual option with DHMO) | DEN | 8015 | N/A |
Benefits
| 4/1/2014 | 3/31/2016 | DOM | |
| AA | V | None | 8024 | Vision Plan 6010 | VIS | 8024 | N/A |
Benefits
| 4/1/2014 | 3/31/2017 | DOM | |
| AA | V | None | 8025 | Vision Plan 6030 | VIS | 8025 | N/A |
Benefits
| 4/1/2014 | 3/31/2017 | DOM | |
| AA | V | None | 8026 | Vision Plan 6060 | VIS | 8026 | N/A |
Benefits
| 4/1/2014 | 3/31/2017 | DOM | |
| AA | D | N/A | 8100 | Choice PPO 7300 MAC | DEN | 8100 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | DOM | |
| AA | D | N/A | 8101 | Choice PPO 7300 | DEN | 8101 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | DOM | |
| AA | D | N/A | 8102 | Choice PPO 7500 MAC | DEN | 8102 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | DOM | |
| AA | D | N/A | 8103 | Choice PPO 7500 | DEN | 8103 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | DOM | |
| AA | D | N/A | 8104 | Choice PPO 7600 MAC | DEN | 8104 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | DOM | |
| AA | D | N/A | 8105 | Choice PPO 7600 | DEN | 8105 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | DOM | |
| AA | D | N/A | 8106 | Select Plan 703x | DEN | 8106 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | DOM | |
| AA | D | N/A | 8107 | Select Plan 705x | DEN | 8107 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | DOM | |
| AA | D | N/A | 8108 | Elite ePPO | DEN | 8108 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | DOM | |
| AA | D | N/A | 8200 | Choice PPO 7500 MAC | DEN | 3615 | N/A |
Benefits
| 4/1/2017 | 12/31/2021 | DOM | |
| AA | D | N/A | 8201 | Choice PPO 7500 80th | DEN | 3617 | N/A |
Benefits
| 4/1/2017 | 12/31/2021 | DOM | |
| AA | D | N/A | 8202 | Choice PPO 7600 MAC | DEN | 3620 | N/A |
Benefits
| 4/1/2017 | 12/31/2021 | DOM | |
| AA | D | N/A | 8203 | Choice PPO 7600 80th | DEN | 3622 | N/A |
Benefits
| 4/1/2017 | 12/31/2021 | DOM | |
| AA | D | N/A | 8204 | Choice PPO 7500 Active MAC | DEN | 3623 | N/A |
Benefits
| 4/1/2017 | 12/31/2021 | DOM | |
| AA | D | N/A | 8205 | Choice PPO 7500 Active 80th | DEN | 3625 | N/A |
Benefits
| 4/1/2017 | 12/31/2021 | DOM | |
| AA | D | N/A | 8206 | Choice PPO 7600 Active MAC | DEN | 3628 | N/A |
Benefits
| 4/1/2017 | 12/31/2021 | DOM | |
| AA | D | N/A | 8207 | Choice PPO 7600 Active 80th | DEN | 3630 | N/A |
Benefits
| 4/1/2017 | 12/31/2021 | DOM | |
| AA | D | N/A | 8208 | Elite ePPO | DEN | 3472-3473 | N/A |
Benefits
| 4/1/2017 | 12/31/2021 | DOM | |
| AA | D | N/A | 8209 | Select Plan 705x | DEN | 2022 | N/A |
Benefits
| 4/1/2017 | 12/31/2021 | DOM | |
| AA | V | None | 8300 | Vision Plan 6010 | VIS | 8300 | N/A |
Benefits
| 4/1/2017 | 12/31/2021 | DOM | |
| AA | V | None | 8301 | Vision Plan 6030 | VIS | 8301 | N/A |
Benefits
| 4/1/2017 | 12/31/2021 | DOM | |
| AA | V | None | 8302 | Vision Plan 6060 | VIS | 8302 | N/A |
Benefits
| 4/1/2017 | 12/31/2021 | DOM | |
| MD | M | Bronze | 9000 | BlueChoice HMO Referral HSA/HRA $4,000 (SHOP) | HMO | 100009180 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 9001 | BlueChoice HMO $1,000 (SHOP) | HMO | 100008545 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 9002 | BlueCross BlueShield Preferred 1000, A Multi-State Plan (SHOP) | PPO | 100008578 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 9003 | BlueCross BlueShield Preferred 1000, A Multi-State Plan (SHOP) | PPO | 100009264 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 9004 | BlueCross BlueShield Preferred 1000, A Multi-State Plan (SHOP) | PPO | 100009236 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 9006 | BlueChoice Advantage 90%/70% (SHOP) | POS | 100009166 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 9007 | BlueChoice Advantage 90%/70% (SHOP) | POS | 100008518 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 9008 | BluePreferred 100%/80% (SHOP) | PPO | 100009286 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| VA | M | Platinum | 9009 | BluePreferred 100%/80% (SHOP) | PPO | 100008599 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| MD | M | Platinum | 9010 | BluePreferred 100%/80% (SHOP) | PPO | 100009283 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 9011 | BlueChoice HMO HSA/HRA $2,000 (SHOP) | HMO | 100009181 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 9012 | BlueChoice HMO HSA/HRA $2,000 (SHOP) | HMO | 100008526 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| VA | M | Silver | 9013 | BlueCross BlueShield Preferred 2000, A Multi-State Plan (SHOP) | PPO | 100008572 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 9014 | BlueChoice HMO Referral HSA/HRA $4,000 (SHOP) | HMO | 100008521 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 9015 | BluePreferred HSA/HRA $4,000 (SHOP) | PPO | 100009237 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| MD | M | Bronze | 9016 | BluePreferred HSA/HRA $4,000 (SHOP) | PPO | 100009203 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| VA | M | Bronze | 9017 | BluePreferred HSA/HRA $4,000 (SHOP) | PPO | 100008552 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| MD | M | Gold | 9018 | BlueChoice HMO $1,000 (SHOP) | HMO | 100009200 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 9019 | BlueCross BlueShield Preferred 2000, A Multi-State Plan (SHOP) | PPO | 100009263 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| MD | M | Silver | 9020 | BlueCross BlueShield Preferred 2000, A Multi-State Plan (SHOP) | PPO | 100009229 | ? |
Benefits
| 7/1/2014 | 12/31/2014 | CAF | |
| VA | M | Gold | 10001 | VA Aetna Gold HMO 500A | HMO | 14024160 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10002 | VA Aetna Gold HMO 80% | HMO | 14024161 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10003 | VA Innovation Health Gold HMO 500A | HMO | 14024202 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10004 | VA Innovation Health Gold HMO 80% | HMO | 14024203 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10005 | VA Aetna Gold HMO 1000 100% | HMO | 14024159 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10006 | VA Innovation Health Gold HMO 1000 100% | HMO | 14024201 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10007 | VA Aetna Silver HMO 2000 100% | HMO | 14024162 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10008 | VA Innovation Health Silver HMO 2000 100% | HMO | 14024204 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10009 | VA Aetna Silver HMO 2000 80% | HMO | 14024164 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10010 | VA Innovation Health Silver HMO 2000 80% | HMO | 14024206 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10011 | VA Aetna Silver HMO 2000 60% | HMO | 14024163 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10012 | VA Innovation Health Silver HMO 2000 60% | HMO | 14024205 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10013 | VA Aetna Gold HNOnly 500A | HMO | 14024150 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10014 | VA Innovation Health Gold Open HMO 500A | HMO | 14024194 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10015 | VA Aetna Gold HNOnly 1000 100% | HMO | 14024147 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10016 | VA Innovation Health Gold Open HMO 1000 100% | HMO | 14024191 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10017 | VA Aetna Silver HNOnly 2000 100% | HMO | 14024154 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10018 | VA Innovation Health Silver Open HMO 2000 100% | HMO | 14024198 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10019 | VA Aetna Silver HNOnly 2000 90% HSA | HSH | 14024158 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10020 | VA Innovation Health Silver Open HMO 2000 90% HSA | HSH | 14024200 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Bronze | 10021 | VA Aetna Bronze HNOnly 3000 100% HSA | HSH | 14024145 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Bronze | 10022 | VA Innovation Health Bronze Open HMO 3000 HSA | HSH | 14024189 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Bronze | 10023 | VA Aetna Bronze HNOnly 4500 100% HSA | HSH | 14024146 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Bronze | 10024 | VA Innovation Health Bronze Open HMO 4500 HSA | HSH | 14024190 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10025 | VA Aetna Gold PPO 100/50 500A | PPO | 14024167 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10026 | VA Innovation Health Gold PPO 100/50 500A | PPO | 14024210 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10027 | VA Aetna Gold PPO 1000 100/50 | PPO | 14024168 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10028 | VA Innovation Health Gold PPO 1000 100/50 | PPO | 14024211 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10029 | VA Aetna Silver PPO 2000 100/50 | PPO | 14024175 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10030 | VA Innovation Health Silver PPO 2000 100/50 | PPO | 14024217 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10031 | VA Aetna Silver PPO 2000 75/50 SS | PPO | 14024178 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10032 | VA Innovation Health Silver PPO 2000 75/50 SS | PPO | 14024220 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10033 | VA Aetna Silver PPO 2000 60/50 SS | PPO | 14024177 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10034 | VA Innovation Health Silver PPO 2000 60/50 SS | PPO | 14024219 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10035 | VA Aetna Silver PPO 2000 90/50 HSA | QHP | 14024169 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10036 | VA Innovation Health Silver PPO 2000 90/50 HSA | QHP | 14024221 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Bronze | 10037 | VA Aetna Bronze PPO 3000 HSA | QHP | 14024165 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Bronze | 10038 | VA Innovation Health Bronze PPO 3000 HSA | QHP | 14024208 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Bronze | 10039 | VA Aetna Bronze PPO 4500 100/50 HSA | QHP | 14024166 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Bronze | 10040 | VA Innovation Health Bronze PPO 4500 100/50 HSA | QHP | 14024209 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10041 | VA Aetna Silver Indemnity 2000 80% | IND | 14024179 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10042 | VA Innovation Health Silver Indemnity 2000 80% | IND | 14024207 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10043 | VA Aetna Gold PPO 80/50 SS | PPO | 14024172 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10044 | VA Innovation Health Gold PPO 80/50 SS | PPO | 14024214 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10045 | VA Aetna Gold HNOnly 80% SS | HMO | 14024151 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10046 | VA Innovation Health Gold Open HMO 80% SS | HMO | 14024195 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10047 | VA Aetna Silver HNOnly 2000 75% SS | HMO | 14024157 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10048 | VA Innovation Health Silver Open HMO 2000 75% SS | HMO | 14024188 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10049 | VA Aetna Silver HNOnly 2000 60% SS | HMO | 14024156 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10050 | VA Innovation Health Silver Open HMO 2000 60% SS | HMO | 14024187 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10051 | VA Aetna Gold AWH PPO 80/60/50 | PPO | 14024184 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10052 | VA Aetna Silver AWH PPO 2000 80/60/50 | PPO | 14024185 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10053 | VA Aetna Silver AWH PPO 2000 90/70/50 HSA | QHP | 14024186 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Bronze | 10054 | VA Aetna Bronze AWH PPO 3000 HSA | QHP | 14024180 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Bronze | 10055 | VA Aetna Bronze AWH PPO 4500 HSA | QHP | 14024181 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Platinum | 10056 | VA Aetna Platinum HNOnly 300A | HMO | 14024152 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Platinum | 10057 | VA Innovation Health Platinum Open HMO 300A | HMO | 14024196 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Platinum | 10058 | VA Aetna Platinum PPO 100/50 300A | PPO | 14024173 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Platinum | 10059 | VA Innovation Health Platinum PPO 100/50 300A | PPO | 14024215 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Platinum | 10060 | VA Aetna Platinum HNOnly 80% | HMO | 14024153 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Platinum | 10061 | VA Aetna Platinum PPO 80/50 | PPO | 14024174 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Platinum | 10062 | VA Innovation Health Platinum PPO 80/50 | PPO | 14024216 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Platinum | 10063 | VA Innovation Health Platinum Open HMO 80% | HMO | 14024197 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10064 | VA Aetna Gold HNOnly 500 80% | HMO | 14024149 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10065 | VA Innovation Health Gold Open HMO 500 80% | HMO | 14024193 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10066 | VA Aetna Gold PPO 500 80/50 | PPO | 14024171 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10067 | VA Innovation Health Gold PPO 500 80/50 | PPO | 14024213 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10068 | VA Aetna Gold HNOnly 1000 80% | HMO | 14024148 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10069 | VA Innovation Health Gold Open HMO 1000 80% | HMO | 14024192 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10070 | VA Aetna Gold PPO 1000 80/50 | PPO | 14024170 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10071 | VA Innovation Health Gold PPO 1000 80/50 | PPO | 14024212 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10072 | VA Aetna Silver HNOnly 2000 100% SJ | HMO | 14024155 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10073 | VA Innovation Health Silver Open HMO 2000 100% SJ | HMO | 14024199 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10074 | VA Aetna Silver PPO 2000 100/50 SJ | PPO | 14024176 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10075 | VA Innovation Health Silver PPO 2000 100/50 SJ | PPO | 14024218 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10076 | VA Aetna Gold AWH PPO 1000 90/60/50 | PPO | 14024182 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10077 | VA Aetna Gold AWH PPO 500 90/60/50 | PPO | 14024183 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Gold | 10101 | MD Gold HNOnly 500A | HMO | 14024289 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Gold | 10102 | MD Gold HMO 500A | HMO | 14024290 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Gold | 10103 | MD Gold PPO 100/80 500A | PPO | 14024291 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Gold | 10104 | MD Gold HMO 80% | HMO | 14024292 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Gold | 10105 | MD Gold HNOnly 80% | HMO | 14024293 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Gold | 10106 | MD Gold PPO 80/60 | PPO | 14024294 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Gold | 10107 | MD Gold HMO 1000 70% | HMO | 14024295 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Gold | 10108 | MD Gold HNOnly 1000 70% | HMO | 14024296 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Gold | 10109 | MD Gold PPO 1000 70/50 | PPO | 14024297 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10110 | MD Silver HMO 1200 70% | HMO | 14024298 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10111 | MD Silver HNOnly 1200 70% | HMO | 14024299 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10112 | MD Silver PPO 1200 70/50 | PPO | 14024300 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10113 | MD Silver HMO 1500 70% | HMO | 14024301 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10114 | MD Silver HNOnly 1500 70% | HMO | 14024302 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10115 | MD Silver PPO 1500 70/50 | PPO | 14024303 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10116 | MD Silver HMO 2000 70% | HMO | 14024304 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10117 | MD Silver HNOnly 2000 70% | HMO | 14024305 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10118 | MD Silver PPO 2000 70/50 | PPO | 14024306 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10119 | MD Silver PPO 1500 60/50 | PPO | 14024307 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10120 | MD Silver PPO 2000 60/50 | PPO | 14024308 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10121 | MD Silver HNOnly 2100 100% HSA | HSH | 14024309 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10122 | MD Silver PPO 2100 100/80 HSA | QHP | 14024310 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10123 | MD Silver HNOnly 1500 80% HSA | HSH | 14024311 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10124 | MD Silver PPO 1500 80/60 HSA | QHP | 14024312 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Bronze | 10125 | MD Bronze HNOnly 3500 HSA | HSH | 14024313 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Bronze | 10126 | MD Bronze PPO 3500 HSA | QHP | 14024314 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Bronze | 10127 | MD Bronze HNOnly 4450 100% HSA | HSH | 14024315 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Bronze | 10128 | MD Bronze PPO 4450 100/80 HSA | QHP | 14024316 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Gold | 10130 | MD Gold HMO 2000 70% S1 | HMO | 14024323 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Gold | 10131 | MD Gold HMO 2000 70% S2 | HMO | 14024324 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10132 | MD Silver HMO 2000 70% S1 | HMO | 14024325 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10133 | MD Silver HMO 2000 70% S2 | HMO | 14024326 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Bronze | 10134 | MD Bronze HMO 3500 HSA S1 | HSH | 14024327 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Bronze | 10135 | MD Bronze HMO 3500 HSA S2 | HSH | 14024328 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Gold | 10136 | MD Gold PPO SJ 1500 | PPO | 14024332 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10137 | MD Silver PPO SJ 2500 | PPO | 14024333 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10138 | MD Silver HMO SJ 2500 | HMO | 14024334 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Silver | 10139 | MD Silver OAMC 2000 70% | POS | 14024335 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Bronze | 10140 | MD Bronze OAMC 3500 HSA | QHP | 14024336 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| MD | M | Gold | 10141 | MD Gold OAMC 2000 70% | POS | 14024404 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | AET | |
| VA | M | Gold | 10150 | VA IH Signature Plus Gold HMO 1000 100 | HMO | 14027676 | OFF-SHOP |
Benefits
| 10/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10151 | VA IH Signature Plus Silver HMO 2000 100 | HMO | 14027677 | OFF-SHOP |
Benefits
| 10/1/2015 | 12/31/2015 | AET | |
| VA | M | Silver | 10152 | VA IH Signature Plus Silver HMO 2000 90 HSA | HMO | 14027678 | OFF-SHOP |
Benefits
| 10/1/2015 | 12/31/2015 | AET | |
| DC | M | Gold | 10153 | DC Gold HMO 90% | HMO | 14025248 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | AET | |
| DC | M | Gold | 10154 | DC Gold HNOnly 90% | HMO | 14025249 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | AET | |
| DC | M | Gold | 10155 | DC Gold OAMC 90/50 | POS | 14025250 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | AET | |
| DC | M | Gold | 10156 | DC Gold HMO 70% | HMO | 14025251 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | AET | |
| DC | M | Gold | 10157 | DC Gold HNOnly 70% | HMO | 14025252 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | AET | |
| DC | M | Gold | 10158 | DC Gold OAMC 70/50 | POS | 14025253 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | AET | |
| DC | M | Gold | 10159 | DC Gold HMO SJ 1500 | HMO | 14025254 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | AET | |
| DC | M | Gold | 10160 | DC Gold OAMC SJ 1500 | POS | 14025255 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | AET | |
| DC | M | Gold | 10161 | DC Gold HMO 2000 70% | HMO | 14025256 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | AET | |
| DC | M | Gold | 10162 | DC Gold OAMC 2000 70% | POS | 14025257 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | AET | |
| DC | M | Silver | 10163 | DC Silver HNOnly 2000 90% HSA | HSH | 14025258 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | AET | |
| DC | M | Silver | 10164 | DC Silver OAMC 2000 90/50 HSA | HSP | 14025259 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | AET | |
| DC | M | Silver | 10165 | DC Silver HMO SJ 2500 | HMO | 14025260 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | AET | |
| DC | M | Silver | 10166 | DC Silver OAMC SJ 2500 | POS | 14025261 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | AET | |
| DC | M | Silver | 10167 | DC Silver HMO 5000 70% | HMO | 14025262 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | AET | |
| DC | M | Silver | 10168 | DC Silver OAMC 5000 70% | POS | 14025263 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | AET | |
| DC | M | Bronze | 10169 | DC Bronze HMO 5400 | HMO | 14025264 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | AET | |
| DC | M | Bronze | 10170 | DC Bronze OAMC 5400 | POS | 14025265 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | AET | |
| DC | M | Bronze | 10171 | Aetna DC Bronze HNOnly 5400 100% HSA Emb | HMO | 14028542 | ON-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| DC | M | Gold | 10172 | Aetna DC Gold HNOnly 2000 70% | HMO | 14028526 | ON-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| DC | M | Gold | 10173 | Aetna DC Gold HNOnly 70% | HMO | 14028524 | ON-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| DC | M | Gold | 10174 | Aetna DC Gold HNOnly 500 90% | HMO | 14028522 | ON-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| DC | M | Bronze | 10175 | Aetna DC Bronze HNOnly 5000 80% HSA Emb | HMO | 14028540 | ON-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| DC | M | Silver | 10176 | Aetna DC Silver HNOnly 2500 90% HSA | HMO | 14028536 | ON-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| DC | M | Gold | 10177 | Aetna DC Gold HNOnly SJ 1500 100% | HMO | 14028528 | ON-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| DC | M | Silver | 10178 | Aetna DC Silver HNOnly SJ 2500 100% | HMO | 14028530 | ON-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| DC | M | Gold | 10179 | Aetna DC Gold HNOnly 1700 100% HSA | HMO | 14028532 | ON-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| DC | M | Bronze | 10180 | Aetna DC Bronze OAMC 5400 100/50 HSA Emb | POS | 14028543 | ON-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| DC | M | Gold | 10181 | Aetna DC Gold OAMC 2000 70/50 | POS | 14028527 | ON-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| DC | M | Gold | 10182 | Aetna DC Gold OAMC 70/50 | POS | 14028525 | ON-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| DC | M | Gold | 10183 | Aetna DC Gold OAMC 500 90/50 | POS | 14028523 | ON-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| DC | M | Silver | 10184 | Aetna DC Silver OAMC 2500 90/50 HSA | POS | 14028537 | ON-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| DC | M | Bronze | 10185 | Aetna DC Bronze OAMC 5000 80/50 HSA Emb | POS | 14028541 | ON-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| DC | M | Gold | 10186 | Aetna DC Gold OAMC SJ 1500 100/80 | POS | 14028529 | ON-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| DC | M | Silver | 10187 | Aetna DC Silver OAMC SJ 2500 100/80 | POS | 14028531 | ON-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| DC | M | Gold | 10188 | Aetna DC Gold OAMC 1700 100/50 HSA | POS | 14028533 | ON-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| MD | M | Gold | 10200 | BlueChoice Advantage $20/$30 Gold Plan - $500 | POS | 100011177 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10201 | BlueChoice Advantage 90%/70% Platinum Plan - SE | POS | 100011179 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10202 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100011167 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10203 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $1,500 | POS | 100011168 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10204 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100011169 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10205 | BlueChoice Advantage HSA Compatible Silver Plan - $1,500 | POS | 100011170 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10206 | BlueChoice HMO $20/$30 Platinum Plan | HMO | 100011189 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10207 | BlueChoice HMO HDHP Gold Plan - $1,000 SE | HMO | 100011212 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10208 | BlueChoice HMO HDHP $30 / $40 Silver Plan - $1,000 | HMO | 100011215 | ? |
Benefits
| 1/1/2015 | 3/31/2014 | CAF | |
| MD | M | Bronze | 10209 | BlueChoice HMO HRA Integrated BlueFund Bronze Plan - $3,000 | HMO | 100011194 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10210 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 SE | HMO | 100011214 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10211 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $1,500 | HMO | 100011205 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10212 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100011210 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10213 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 SE | HMO | 100011200 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Bronze | 10214 | BlueChoice HMO HRA Integrated Compatible Bronze Plan - $3,000 | HMO | 100011193 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10215 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 SE | HMO | 100011213 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10216 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $1,500 | HMO | 100011204 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10217 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100011209 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10218 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 SE | HMO | 100011199 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10219 | BlueChoice HMO HRA Non-Integrated BlueFund $30 / $40 Silver Plan - $1,000 | HMO | 100011217 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10220 | BlueChoice HMO HRA Non-Integrated Compatible $30 / $40 Silver Plan - $1,000 | HMO | 100011216 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Bronze | 10221 | BlueChoice HMO HSA BlueFund Bronze Plan - $3,000 | HMO | 100011192 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10222 | BlueChoice HMO HSA BlueFund Silver Plan - $1,500 | HMO | 100011203 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10223 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100011208 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10224 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 SE | HMO | 100011198 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Bronze | 10225 | BlueChoice HMO HSA Compatible Bronze Plan - $3,000 | HMO | 100011191 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10226 | BlueChoice HMO HSA Compatible Silver Plan - $1,500 | HMO | 100011202 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10227 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 | HMO | 100011207 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10228 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 SE | HMO | 100011197 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10229 | BlueChoice HMO Referral $20/$30 Platinum Plan | HMO | 100011219 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10230 | BlueChoice HMO Referral $30/$40 Gold Plan | HMO | 100011218 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Bronze | 10231 | BlueChoice HMO Referral HRA Integrated BlueFund Bronze Plan - $4,000 SE | HMO | 100011187 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Bronze | 10232 | BlueChoice HMO Referral HRA Integrated Compatible Bronze Plan - $4,000 SE | HMO | 100011186 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Bronze | 10233 | BlueChoice HMO Referral HSA BlueFund Bronze Plan - $4,000 SE | HMO | 100011185 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Bronze | 10234 | BlueChoice HMO Referral HSA Compatible Bronze Plan - $4,000 SE | HMO | 100011184 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10235 | BlueChoice Plus 100%/60% Platinum Plan - $20/$30 | POS | 100011300 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10236 | BlueChoice Plus 100%/80% Platinum Plan - $20/$30 | POS | 100011301 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10237 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100011306 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10238 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100011311 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10239 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $1,500 | POS | 100011305 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10240 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100011310 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10241 | BlueChoice Plus HSA BlueFund Silver Plan - $1,500 | POS | 100011304 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10242 | BlueChoice Plus HSA BlueFund Silver Plan - $2,000 | POS | 100011309 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10243 | BlueChoice Plus HSA Compatible Silver Plan - $1,500 | POS | 100011303 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10244 | BlueChoice Plus HSA Compatible Silver Plan - $2,000 | POS | 100011308 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10245 | BluePreferred Platinum Plan - $250 | PPO | 100011296 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10246 | BluePreferred 100%/80% Platinum Plan - SE | PPO | 100011295 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10247 | BluePreferred HDHP Gold Plan - $1,000 | PPO | 100011440 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10248 | BluePreferred HDHP Gold Plan - $1,000 SE | PPO | 100011247 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10249 | BluePreferred HDHP Gold Plan - $1,400 | PPO | 100011285 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10250 | BluePreferred HDHP Silver Plan - $2,000 | PPO | 100011282 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Bronze | 10251 | BluePreferred HRA Integrated BlueFund Bronze Plan - $4,000 | PPO | 100011230 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Bronze | 10252 | BluePreferred HRA Integrated BlueFund Bronze Plan - $4,000 SE | PPO | 100011225 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10253 | BluePreferred HRA Integrated BlueFund Gold Plan - $1,000 SE | PPO | 100011249 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10254 | BluePreferred HRA Integrated BlueFund Silver Plan - $1,600 | PPO | 100011245 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10255 | BluePreferred HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100011240 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10256 | BluePreferred HRA Integrated BlueFund Silver Plan - $2,000 SE | PPO | 100011235 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Bronze | 10257 | BluePreferred HRA Integrated Compatible Bronze Plan - $4,000 | PPO | 100011229 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Bronze | 10258 | BluePreferred HRA Integrated Compatible Bronze Plan - $4,000 SE | PPO | 100011224 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10259 | BluePreferred HRA Integrated Compatible Gold Plan - $1,000 SE | PPO | 100011248 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10260 | BluePreferred HRA Integrated Compatible Silver Plan - $1,600 | PPO | 100011244 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10261 | BluePreferred HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100011239 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10262 | BluePreferred HRA Integrated Compatible Silver Plan - $2,000 SE | PPO | 100011234 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10263 | BluePreferred HRA Non-Integrated BlueFund Gold Plan - $1,000 | PPO | 100011442 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10264 | BluePreferred HRA Non-Integrated BlueFund Gold Plan - $1,400 | PPO | 100011287 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10265 | BluePreferred HRA Non-Integrated BlueFund Silver Plan - $2,000 | PPO | 100011284 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10266 | BluePreferred HRA Non-Integrated Compatible Gold Plan - $1,000 | PPO | 100011441 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10267 | BluePreferred HRA Non-Integrated Compatible Gold Plan - $1,400 | PPO | 100011286 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10268 | BluePreferred HRA Non-Integrated Compatible Silver Plan - $2,000 | PPO | 100011283 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Bronze | 10269 | BluePreferred HSA BlueFund Bronze Plan - $4,000 | PPO | 100011228 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Bronze | 10270 | BluePreferred HSA BlueFund Bronze Plan - $4,000 SE | PPO | 100011223 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10271 | BluePreferred HSA BlueFund Silver Plan - $1,600 | PPO | 100011243 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10272 | BluePreferred HSA BlueFund Silver Plan - $2,000 | PPO | 100011238 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10273 | BluePreferred HSA BlueFund Silver Plan - $2,000 SE | PPO | 100011233 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Bronze | 10274 | BluePreferred HSA Compatible Bronze Plan - $4,000 | PPO | 100011227 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Bronze | 10275 | BluePreferred HSA Compatible Bronze Plan - $4,000 SE | PPO | 100011222 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10276 | BluePreferred HSA Compatible Silver Plan - $1,600 | PPO | 100011242 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10277 | BluePreferred HSA Compatible Silver Plan - $2,000 | PPO | 100011237 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10278 | BluePreferred HSA Compatible Silver Plan - $2,000 SE | PPO | 100011232 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10279 | HealthyBlue Advantage Platinum Plan - $500 | POS | 100011368 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10280 | HealthyBlue Advantage HDHP Gold Plan - $1,500 | POS | 100011358 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10281 | HealthyBlue Advantage HDHP Platinum Plan - $1,000 | POS | 100011361 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10282 | HealthyBlue Advantage HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100011350 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10283 | HealthyBlue Advantage HRA Integrated Compatible Silver Plan - $2,000 | POS | 100011349 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10284 | HealthyBlue Advantage HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100011357 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10285 | HealthyBlue Advantage HRA Non-Integrated BlueFund Platinum Plan - $1,000 | POS | 100011360 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10286 | HealthyBlue Advantage HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100011356 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10287 | HealthyBlue Advantage HRA Non-Integrated Compatible Platinum Plan - $1,000 | POS | 100011359 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10288 | HealthyBlue Advantage HSA BlueFund Silver Plan - $2,000 | POS | 100011348 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10289 | HealthyBlue Advantage HSA Compatible Silver Plan - $2,000 | POS | 100011347 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10290 | HealthyBlue HMO Platinum Plan - $500 | HMO | 100011381 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10291 | HealthyBlue HMO HDHP Gold Plan - $1,500 | HMO | 100011377 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10292 | HealthyBlue HMO HDHP Platinum Plan - $1,000 | HMO | 100011380 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10293 | HealthyBlue HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100011374 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10294 | HealthyBlue HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100011373 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10295 | HealthyBlue HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100011376 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10296 | HealthyBlue HMO HRA Non-Integrated BlueFund Platinum Plan - $1,000 | HMO | 100011379 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10297 | HealthyBlue HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100011375 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10298 | HealthyBlue HMO HRA Non-Integrated Compatible Platinum Plan - $1,000 | HMO | 100011378 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10299 | HealthyBlue HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100011372 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10300 | HealthyBlue HMO HSA Compatible Silver Plan - $2,000 | HMO | 100011371 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10301 | HealthyBlue Plus Platinum Plan - $500 | POS | 100011344 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10302 | HealthyBlue Plus HDHP Gold Plan - $1,500 | POS | 100011334 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10303 | HealthyBlue Plus HDHP Platinum Plan - $1,000 | POS | 100011337 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10304 | HealthyBlue Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100011326 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10305 | HealthyBlue Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100011325 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10306 | HealthyBlue Plus HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100011333 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10307 | HealthyBlue Plus HRA Non-Integrated BlueFund Platinum Plan - $1,000 | POS | 100011336 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10308 | HealthyBlue Plus HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100011332 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10309 | HealthyBlue Plus HRA Non-Integrated Compatible Platinum Plan - $1,000 | POS | 100011335 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10310 | HealthyBlue Plus HSA BlueFund Silver Plan - $2,000 | POS | 100011324 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10311 | HealthyBlue Plus HSA Compatible Silver Plan - $2,000 | POS | 100011323 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10312 | HealthyBlue PPO Platinum Plan - $500 | PPO | 100011404 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10313 | HealthyBlue PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100011392 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10314 | HealthyBlue PPO HRA Non-Integrated Compatible Platinum Plan - $1,000 | PPO | 100011395 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10315 | HealthyBlue PPO HDHP Gold Plan - $1,500 | PPO | 100011394 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10316 | HealthyBlue PPO HDHP Platinum Plan - $1,000 | PPO | 100011397 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10317 | HealthyBlue PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100011386 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10318 | HealthyBlue PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100011385 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10319 | HealthyBlue PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100011393 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10320 | HealthyBlue PPO HRA Non-Integrated BlueFund Platinum Plan - $1,000 | PPO | 100011396 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10321 | HealthyBlue PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100011384 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10322 | HealthyBlue PPO HSA Compatible Silver Plan - $2,000 | PPO | 100011383 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10323 | BlueChoice Advantage 100%/70% Platinum Plan | POS | 100010789 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10324 | BlueChoice Advantage 80%/50% Platinum Plan | POS | 100010788 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10325 | BlueChoice Advantage 90%/70% Platinum Plan - SE | POS | 100010790 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10326 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100010786 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10327 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $1,500 | POS | 100010785 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10328 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100010784 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10329 | BlueChoice Advantage HSA Compatible Silver Plan - $1,500 | POS | 100010783 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10330 | BlueChoice HMO $20/$30 Platinum Plan | HMO | 100010798 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10331 | BlueChoice HMO $30/$40 Platinum Plan | HMO | 100010799 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10332 | BlueChoice HMO HDHP Gold Plan - $1,000 SE | HMO | 100010817 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10333 | BlueChoice HMO HDHP Gold Plan - $1,800 | HMO | 100010824 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10334 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100010806 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10335 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,500 | HMO | 100010811 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10336 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 SE | HMO | 100010816 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10337 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 SE | HMO | 100010801 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10338 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100010810 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10339 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 SE | HMO | 100010818 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10340 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 SE | HMO | 100010805 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10341 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,500 | HMO | 100010815 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10342 | BlueChoice HMO HRA Non-Integrated BlueFund Gold Plan - $1,800 | HMO | 100010825 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10343 | BlueChoice HMO HRA Non-Integrated Compatible Gold Plan - $1,800 | HMO | 100010823 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10344 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 SE | HMO | 100010804 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10345 | BlueChoice HMO HSA BlueFund Gold Plan - $1,500 | HMO | 100010814 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10346 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100010809 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10347 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 SE | HMO | 100010802 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10348 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 | HMO | 100010807 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10349 | BlueChoice HMO HSA Compatible Gold Plan - $1,500 | HMO | 100010812 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10350 | BlueChoice HMO Referral $10/$20 Platinum Plan | HMO | 100010820 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10351 | BlueChoice HMO Referral $20/$30 Platinum Plan | HMO | 100010821 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10352 | BlueChoice HMO Referral $30/$40 Platinum Plan | HMO | 100010822 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Bronze | 10353 | BlueChoice HMO Referral HRA Integrated BlueFund Bronze Plan - $4,000 SE | HMO | 100010793 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Bronze | 10354 | BlueChoice HMO Referral HRA Integrated Compatible Bronze Plan - $4,000 SE | HMO | 100010797 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Bronze | 10355 | BlueChoice HMO Referral HSA BlueFund Bronze Plan - $4,000 SE | HMO | 100010796 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Bronze | 10356 | BlueChoice HMO Referral HSA Compatible Bronze Plan - $4,000 SE | HMO | 100010794 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10357 | BlueChoice Plus 100%/60% Platinum Plan - $20/$30 | POS | 100010879 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10358 | BlueChoice Plus 100%/80% Platinum Plan - $20/$30 | POS | 100010878 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10359 | BlueChoice Plus 100%/80% Platinum Plan - $10/$20 | POS | 100010898 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10360 | BlueChoice Plus HDHP Silver Plan - $2,000 | POS | 100010896 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10361 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100010891 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Bronze | 10362 | BlueChoice Plus HRA Integrated BlueFund Bronze Plan - $3,500 | POS | 100010881 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10363 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100010886 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Bronze | 10364 | BlueChoice Plus HRA Integrated Compatible Bronze Plan - $3,500 | POS | 100010880 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10365 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100010890 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10366 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $1,500 | POS | 100010885 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10367 | BlueChoice Plus HRA Non-Integrated BlueFund Silver Plan - $2,000 | POS | 100010897 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10368 | BlueChoice Plus HRA Non-Integrated Compatible Silver Plan - $2,000 | POS | 100010895 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10369 | BlueChoice Plus HSA BlueFund Silver Plan - $2,000 | POS | 100010894 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10370 | BlueChoice Plus HSA BlueFund Silver Plan - $1,500 | POS | 100010889 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Bronze | 10371 | BlueChoice Plus HSA BlueFund Bronze Plan - $3,500 | POS | 100010884 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Bronze | 10372 | BlueChoice Plus HSA Compatible Bronze Plan - $3,500 | POS | 100010882 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10373 | BlueChoice Plus HSA Compatible Silver Plan - $2,000 | POS | 100010892 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10374 | BlueChoice Plus HSA Compatible Silver Plan - $1,500 | POS | 100010887 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10375 | BluePreferred Platinum Plan - $500 | PPO | 100010874 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10376 | BluePreferred $20/$30 Gold Plan - $500 | PPO | 100010873 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10377 | BluePreferred $30/$40 Silver Plan - $1,000 | PPO | 100010872 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10378 | BluePreferred 100%/80% Platinum Plan | PPO | 100010877 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10379 | BluePreferred 100%/80% Platinum Plan SE | PPO | 100010875 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10380 | BluePreferred HDHP Gold Plan - $1,000 SE | PPO | 100010856 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10381 | BluePreferred HDHP Gold Plan - $2,000 | PPO | 100010861 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Bronze | 10382 | BluePreferred HDHP Bronze Plan - $4,500 | PPO | 100010858 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10383 | BluePreferred HDHP Gold Plan - $1,200 | PPO | 100010864 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10384 | BluePreferred HDHP 100%/80% Gold Plan $1,000 | PPO | 100010867 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10385 | BluePreferred HDHP 80%/60% Gold Plan $1,000 | PPO | 100010870 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10386 | BluePreferred HRA Integrated BlueFund Silver Plan - $2,000 SE | PPO | 100010838 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10387 | BluePreferred HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100010843 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Bronze | 10388 | BluePreferred HRA Integrated BlueFund Bronze Plan - $4,000 SE | PPO | 100010828 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Bronze | 10389 | BluePreferred HRA Integrated BlueFund Bronze Plan - $4,500 | PPO | 100010833 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10390 | BluePreferred HRA Integrated BlueFund Gold Plan - $1,000 SE | PPO | 100010855 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10391 | BluePreferred HRA Integrated BlueFund Gold Plan - $1,400 | PPO | 100010849 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Bronze | 10392 | BluePreferred HRA Integrated Compatible Bronze Plan - $4,000 SE | PPO | 100010827 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10393 | BluePreferred HRA Integrated Compatible Gold Plan - $1,000 SE | PPO | 100010854 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10394 | BluePreferred HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100010842 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Bronze | 10395 | BluePreferred HRA Integrated Compatible Bronze Plan - $4,500 | PPO | 100010832 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10396 | BluePreferred HRA Integrated Compatible Silver Plan - $2,000 SE | PPO | 100010837 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10397 | BluePreferred HRA Integrated Compatible Gold Plan - $1,400 | PPO | 100010848 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10398 | BluePreferred HRA Non-Integrated BlueFund Gold Plan - $1,200 | PPO | 100010865 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10399 | BluePreferred HRA Non-Integrated BlueFund Gold Plan - $2,000 | PPO | 100010862 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Bronze | 10400 | BluePreferred HRA Non-Integrated BlueFund Bronze Plan - $4,500 | PPO | 100010859 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10401 | BluePreferred HRA Non-Integrated BlueFund $30/$40 Silver Plan - $1,000 | PPO | 100011165 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10402 | BluePreferred HRA Non-Integrated BlueFund 100%/80% Gold Plan $1,000 | PPO | 100010868 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10403 | BluePreferred HRA Non-Integrated BlueFund 80%/60% Gold Plan $1,000 | PPO | 100010871 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10404 | BluePreferred HRA Non-Integrated Compatible Gold Plan - $1,200 | PPO | 100010863 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10405 | BluePreferred HRA Non-Integrated Compatible Gold Plan - $2,000 | PPO | 100010860 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Bronze | 10406 | BluePreferred HRA Non-Integrated Compatible Bronze Plan - $4,500 | PPO | 100010857 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10407 | BluePreferred HRA Non-Integrated Compatible $30/$40 Silver Plan - $1,000 | PPO | 100011166 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10408 | BluePreferred HRA Non-Integrated Compatible 100%/80% Gold Plan $1,000 | PPO | 100010866 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10409 | BluePreferred HRA Non-Integrated Compatible 80%/60% Gold Plan $1,000 | PPO | 100010869 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10410 | BluePreferred HSA BlueFund Silver Plan - $2,000 | PPO | 100010846 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10411 | BluePreferred HSA BlueFund Gold Plan - $1,400 | PPO | 100010852 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Bronze | 10412 | BluePreferred HSA BlueFund Bronze Plan - $4,000 SE | PPO | 100010831 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10413 | BluePreferred HSA BlueFund Silver Plan - $2,000 SE | PPO | 100010841 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Bronze | 10414 | BluePreferred HSA BlueFund Bronze Plan - $4,500 | PPO | 100010836 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10415 | BluePreferred HSA Compatible Gold Plan - $1,400 | PPO | 100010850 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Bronze | 10416 | BluePreferred HSA Compatible Bronze Plan - $4,000 SE | PPO | 100010829 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10417 | BluePreferred HSA Compatible Silver Plan - $2,000 SE | PPO | 100010839 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Bronze | 10418 | BluePreferred HSA Compatible Bronze Plan - $4,500 | PPO | 100010834 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10419 | BluePreferred HSA Compatible Silver Plan - $2,000 | PPO | 100010844 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10420 | HealthyBlue Advantage Platinum Plan - $300 | POS | 100010917 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10421 | HealthyBlue Advantage Platinum Plan - $600 | POS | 100010918 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10422 | HealthyBlue Advantage HDHP Gold Plan - $1,500 | POS | 100010914 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10423 | HealthyBlue Advantage HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100010912 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10424 | HealthyBlue Advantage HRA Integrated Compatible Silver Plan - $2,000 | POS | 100010911 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10425 | HealthyBlue Advantage HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100010916 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10426 | HealthyBlue Advantage HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100010915 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10427 | HealthyBlue Advantage HSA BlueFund Silver Plan - $2,000 | POS | 100010910 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10428 | HealthyBlue Advantage HSA Compatible Silver Plan - $2,000 | POS | 100010909 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10429 | HealthyBlue HMO Platinum Plan - $600 | HMO | 100010928 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10430 | HealthyBlue HMO Platinum Plan - $300 | HMO | 100010927 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10431 | HealthyBlue HMO HDHP Gold Plan - $1,500 | HMO | 100010924 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10432 | HealthyBlue HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100010922 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10433 | HealthyBlue HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100010921 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10434 | HealthyBlue HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100010926 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10435 | HealthyBlue HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100010925 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10436 | HealthyBlue HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100010920 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10437 | HealthyBlue HMO HSA Compatible Silver Plan - $2,000 | HMO | 100010919 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10438 | HealthyBlue Plus Platinum Plan - $600 | POS | 100010908 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10439 | HealthyBlue Plus Platinum Plan - $300 | POS | 100010907 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10440 | HealthyBlue Plus HDHP Gold Plan - $1,500 | POS | 100010904 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10441 | HealthyBlue Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100010902 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10442 | HealthyBlue Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100010901 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10443 | HealthyBlue Plus HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100010906 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10444 | HealthyBlue Plus HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100010905 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10445 | HealthyBlue Plus HSA BlueFund Silver Plan - $2,000 | POS | 100010900 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10446 | HealthyBlue Plus HSA Compatible Silver Plan - $2,000 | POS | 100010899 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10447 | HealthyBlue PPO Platinum Plan - $300 | PPO | 100010937 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 10448 | HealthyBlue PPO Platinum Plan - $600 | PPO | 100010938 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10449 | HealthyBlue PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100010935 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10450 | HealthyBlue PPO HDHP Gold Plan - $1,500 | PPO | 100010934 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10451 | HealthyBlue PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100010932 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10452 | HealthyBlue PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100010931 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Gold | 10453 | HealthyBlue PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100010936 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10454 | HealthyBlue PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100010930 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Silver | 10455 | HealthyBlue PPO HSA Compatible Silver Plan - $2,000 | PPO | 100010929 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10456 | BlueChoice HMO HDHP $30 / $40 Silver Plan - $1,000 | HMO | 100011557 | OFF-SHOP |
Benefits
| 4/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10500 | BlueChoice Advantage 90%/70% Platinum Plan (SHOP) | POS | 100011178 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Bronze | 10501 | BlueChoice HMO Referral HSA/HRA Bronze Plan - $4,000 (SHOP) | HMO | 100011188 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10502 | BlueChoice HMO HSA/HRA Silver Plan - $2,000 (SHOP) | HMO | 100011195 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10503 | BlueChoice HMO Gold Plan - $1,000 (SHOP) | HMO | 100011211 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Silver | 10504 | BlueChoice Advantage HSA/HRA Silver Plan - $1,500 (SHOP) | POS | 100010959 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Gold | 10505 | BlueChoice Advantage HDHP Gold Plan - $1,000 (SHOP) | POS | 100010960 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Gold | 10506 | BlueChoice Advantage Gold - $500 (SHOP) | POS | 100010961 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10507 | BlueChoice Advantage 90%/70% Platinum Plan (SHOP) | POS | 100010962 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10508 | BlueChoice Advantage 80%/50% Platinum Plan (SHOP) | POS | 100010963 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10509 | BlueChoice Advantage 100%/70% Platinum Plan (SHOP) | POS | 100010964 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Bronze | 10510 | BlueChoice HMO Referral HSA/HRA Bronze Plan - $4,000 (SHOP) | HMO | 100010965 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Gold | 10511 | BlueChoice HMO Gold Plan - $250 (SHOP) | HMO | 100010966 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10512 | BlueChoice HMO $30/$40 Platinum Plan (SHOP) | HMO | 100010967 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Silver | 10513 | BlueChoice HMO HSA/HRA 80% Silver Plan - $2,000 (SHOP) | HMO | 100010968 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Silver | 10514 | BlueChoice HMO HSA/HRA Silver Plan - $2,000 (SHOP) | HMO | 100010969 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Gold | 10515 | BlueChoice HMO HSA/HRA Gold Plan - $1,500 (SHOP) | HMO | 100010970 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Gold | 10516 | BlueChoice HMO HDHP Gold Plan - $1,000 (SHOP) | HMO | 100010971 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Gold | 10517 | BlueChoice HMO Referral Gold Plan - $500 (SHOP) | HMO | 100010972 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10518 | BlueChoice HMO Referral $10/$20 Platinum Plan (SHOP) | HMO | 100010973 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10519 | BlueChoice HMO Referral $30/$40 Platinum Plan (SHOP) | HMO | 100010974 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Gold | 10520 | BlueChoice HMO HDHP Gold Plan - $1,800 (SHOP) | HMO | 100010975 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Bronze | 10521 | BluePreferred HSA/HRA Bronze Plan - $4,000 (SHOP) | PPO | 100010976 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Bronze | 10522 | BluePreferred HSA/HRA Bronze Plan - $4,500 (SHOP) | PPO | 100010977 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Silver | 10523 | BluePreferred HSA/HRA Silver Plan MSP - $2,000 (SHOP) | PPO | 100010978 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Silver | 10524 | BluePreferred HSA/HRA Silver Plan - $1,800 (SHOP) | PPO | 100010979 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Silver | 10525 | BluePreferred 100%/80% HSA/HRA Silver Plan - $2,000 (SHOP) | PPO | 100010980 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Gold | 10526 | BluePreferred HSA/HRA Gold Plan - $1,400 (SHOP) | PPO | 100010981 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Gold | 10527 | BluePreferred HDHP Gold Plan MSP - $1,000 (SHOP) | PPO | 100010982 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Bronze | 10528 | BluePreferred HDHP Bronze Plan - $4,500 (SHOP) | PPO | 100010983 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Gold | 10529 | BluePreferred HDHP Gold Plan - $2,000 (SHOP) | PPO | 100010984 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Gold | 10530 | BluePreferred HDHP Gold Plan - $1,200 (SHOP) | PPO | 100010985 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Gold | 10531 | BluePreferred 100%/80% HDHP Gold Plan $1,000 (SHOP) | PPO | 100010986 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Gold | 10532 | BluePreferred 80%/60% HDHP Gold Plan $1,000 (SHOP) | PPO | 100010987 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Silver | 10533 | BluePreferred HDHP Silver Plan $1,000 (SHOP) | PPO | 100010988 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Gold | 10534 | BluePreferred Gold Plan $500 (SHOP) | PPO | 100010989 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10535 | BluePreferred Platinum Plan - $500 (SHOP) | PPO | 100010990 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10536 | BluePreferred 100%/80% Platinum Plan Rx $10/$45 (SHOP) | PPO | 100010991 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10537 | BluePreferred 100%/80% Platinum Plan Rx $10/20% (SHOP) | PPO | 100010992 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10538 | BlueChoice Plus 100%/80% Platinum Plan - $20/$30 (SHOP) | POS | 100010993 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10539 | BlueChoice Plus 100%/60% Platinum Plan - $20/$30 (SHOP) | POS | 100010994 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Bronze | 10540 | BlueChoice Plus HSA/HRA Bronze Plan - $3,500 (SHOP) | POS | 100010995 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Silver | 10541 | BlueChoice Plus HSA/HRA Silver Plan - $1,500 (SHOP) | POS | 100010996 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Silver | 10542 | BlueChoice Plus HSA/HRA Silver Plan - $2,000 (SHOP) | POS | 100010997 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Silver | 10543 | BlueChoice Plus HDHP Silver Plan - $2,000 (SHOP) | POS | 100010998 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10544 | BlueChoice Plus 100%/80% Platinum Plan - $10/$20 (SHOP) | POS | 100010999 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Silver | 10545 | HealthyBlue Plus HSA/HRA Silver Plan - $2,000 (SHOP) | POS | 100011000 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Gold | 10546 | HealthyBlue Plus HDHP Gold Plan - $1,500 (SHOP) | POS | 100011001 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10547 | HealthyBlue Plus Platinum Plan - $300 (SHOP) | POS | 100011002 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10548 | HealthyBlue Plus Platinum Plan - $600 (SHOP) | POS | 100011003 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Silver | 10549 | HealthyBlue Advantage HSA/HRA Silver Plan - $2,000 (SHOP) | POS | 100011004 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Gold | 10550 | HealthyBlue Advantage HDHP Gold Plan - $1,500 (SHOP) | POS | 100011005 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10551 | HealthyBlue Advantage Platinum Plan - $300 (SHOP) | POS | 100011006 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10552 | HealthyBlue Advantage Platinum Plan - $600 (SHOP) | POS | 100011007 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Silver | 10553 | HealthyBlue HMO HSA/HRA Silver Plan - $2,000 (SHOP) | HMO | 100011008 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Gold | 10554 | HealthyBlue HMO HDHP Gold Plan - $1,500 (SHOP) | HMO | 100011009 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10555 | HealthyBlue HMO Platinum Plan - $300 (SHOP) | HMO | 100011010 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10556 | HealthyBlue HMO Platinum Plan - $600 (SHOP) | HMO | 100011011 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Silver | 10557 | HealthyBlue PPO HSA/HRA Silver Plan - $2,000 (SHOP) | PPO | 100011012 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Gold | 10558 | HealthyBlue PPO HDHP Gold Plan - $1,500 (SHOP) | PPO | 100011013 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10559 | HealthyBlue PPO Platinum Plan - $300 (SHOP) | PPO | 100011014 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| DC | M | Platinum | 10560 | HealthyBlue PPO Platinum Plan - $600 (SHOP) | PPO | 100011015 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Bronze | 10561 | BluePreferred HSA/HRA Bronze Plan - $4,000 (SHOP) | PPO | 100011220 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Silver | 10562 | BluePreferred HSA/HRA Silver Plan - $2,000 MSP (SHOP) | PPO | 100011246 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Gold | 10563 | BluePreferred Gold Plan - $1,000 MSP (SHOP) | PPO | 100011250 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| MD | M | Platinum | 10564 | BluePreferred 100%/80% Platinum Plan (SHOP) | PPO | 100011294 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | CAF | |
| VA | M | Platinum | 11000 | Anthem Platinum PPO 10/10%/2500 (PY) | PPO | 1N5D | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11001 | Anthem HealthKeepers Gold POS 500/20%/3500 Plus (PY) | POS | 1N5F | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11002 | Anthem HealthKeepers Gold POS 3000/0%/3000 Plus w/HRA (PY) | POS | 1N5G | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Platinum | 11003 | Anthem HealthKeepers Platinum OAPOS 10/10%/2500 (PY) | POS | 1N5H | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11004 | Anthem Bronze PPO 5500/0%/5500 w/HSA (PY) | PPO | 1N5L | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11005 | Anthem HealthKeepers Bronze POS 6300/0%/6300 Plus w/HSA w/Dental (PY) | POS | 1N5M | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11006 | Anthem HealthKeepers Bronze POS 6300/0%/6300 Plus w/HSA (PY) | POS | 1N5Q | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11007 | Anthem HealthKeepers Bronze OAPOS 5500/0%/5500 w/HSA (PY) | POS | 1N5R | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11008 | Anthem HealthKeepers Silver POS 1250/40%/5500 Plus (PY) | POS | 1N5S | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11009 | Anthem HealthKeepers Bronze OAPOS 5500E/0%/5500 w/HSA (PY) | POS | 1N5T | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11010 | Anthem HealthKeepers Gold POS 1500/30%/5000 Plus w/HSA (PY) | POS | 1N5U | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11011 | Anthem Silver PPO 4000/20%/6600 (PY) | PPO | 1N5V | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11012 | Anthem HealthKeepers Bronze OAPOS 5500/0%/5500 w/HSA (CY) | POS | 1N5W | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11013 | Anthem HealthKeepers Bronze POS 3500/30%/6350 Plus w/HSA (PY) | POS | 1N5Y | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11014 | Anthem HealthKeepers Silver POS 2000/30%/4500 Plus w/HSA (PY) | POS | 1N60 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11015 | Anthem HealthKeepers Bronze POS 4000/20%/6350 Plus w/HSA (PY) | POS | 1N62 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11016 | Anthem HealthKeepers Silver POS 5000/0%/5000 Plus w/HRA (PY) | POS | 1N67 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11017 | Anthem HealthKeepers Gold POS 1500/20%/6350 Plus w/HSA (PY) | POS | 1N69 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11018 | Anthem HealthKeepers Silver POS 2000/30%/4750 Plus w/HSA (PY) | POS | 1N6B | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11019 | Anthem Silver PPO 2000/50%/6350 (PY) | PPO | 1N6C | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11020 | Anthem HealthKeepers Silver OAPOS 2000/50%/6350 (PY) | POS | 1N6E | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11021 | Anthem Gold PPO 1000/20%/3000 (PY) | PPO | 1N6G | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11022 | Anthem HealthKeepers Silver OAPOS 4000/20%/6600 (PY) | POS | 1N6J | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11023 | Anthem Bronze PPO 5500E/0%/5500 w/HSA (PY) | PPO | 1N6L | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11024 | Anthem Gold PPO 500/20%/3500 (PY) | PPO | 1N6P | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11025 | Anthem HealthKeepers Gold OAPOS 500/20%/3500 (PY) | POS | 1N6R | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11026 | Anthem HealthKeepers Gold OAPOS 1500/30%/4250 (PY) | POS | 1N6T | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11027 | Anthem Gold PPO 1500/30%/4250 (PY) | PPO | 1N6V | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11028 | Anthem HealthKeepers Gold OAPOS 35/30%/5500 (PY) | POS | 1N6W | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11029 | Anthem HealthKeepers Gold OAPOS 2000/20%/3500 (PY) | POS | 1N6X | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11030 | Anthem Gold PPO 2000/20%/3500 (PY) | PPO | 1N70 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Platinum | 11031 | Anthem Platinum PPO 10/20%/3000 (PY) | PPO | 1N72 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11032 | Anthem HealthKeepers Gold OAPOS 1000/20%/3000 (PY) | POS | 1N74 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Platinum | 11033 | Anthem HealthKeepers Platinum OAPOS 10/20%/3000 (PY) | POS | 1N75 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11034 | Anthem Gold PPO 35/30%/5500 (PY) | PPO | 1N77 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11035 | Anthem HealthKeepers Bronze POS 5900/0%/6600 Plus (CY) | POS | 1N7C | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11036 | Anthem Silver PPO 2000/50%/6350 (CY) | PPO | 1N7E | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11037 | Anthem HealthKeepers Silver POS 2000/30%/4750 Plus w/HSA (CY) | POS | 1N7F | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11038 | Anthem Silver PPO 4000/20%/6600 (CY) | PPO | 1N7J | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11039 | Anthem HealthKeepers Silver OAPOS 5000/0%/5000 w/HRA (CY) | POS | 1N7L | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11040 | Anthem HealthKeepers Bronze POS 5900/0%/6600 Plus (PY) | POS | 1N7M | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11041 | Anthem HealthKeepers Silver OAPOS 2800E/20%/4000 w/HSA (CY) | POS | 1N7P | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11042 | Anthem Bronze PPO 5500E/0%/5500 w/HSA (CY) | PPO | 1N7T | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11043 | Anthem HealthKeepers Gold POS 1000/20%/3000 Plus (PY) | POS | 1N7W | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11044 | Anthem HealthKeepers Gold POS 1000/20%/3000 Plus w/Dental (PY) | POS | 1N7Y | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11045 | Anthem HealthKeepers Silver POS 3000/20%/4500 Plus (CY) | POS | 1N7Z | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11046 | Anthem HealthKeepers Silver OAPOS 3500/0%/3500 w/HSA (PY) | POS | 1N80 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11047 | Anthem HealthKeepers Silver POS 2500/30%/5000 Plus (PY) | POS | 1N82 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11048 | Anthem Gold PPO 1000/20%/3000 (CY) | PPO | 1N85 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11049 | Anthem Gold PPO 1500/30%/4250 (CY) | PPO | 1N88 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11050 | Anthem Gold PPO 1500/20%/5000 w/HRA (CY) | PPO | 1N8A | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11051 | Anthem Silver PPO 1500/20%/6350 w/HSA (CY) | PPO | 1N8C | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11052 | Anthem Silver PPO 5000/0%/5000 w/HRA (PY) | PPO | 1N8D | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11053 | Anthem HealthKeepers Gold OAPOS 1000/20%/3000 V2 (CY) | POS | 1N8G | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11054 | Anthem HealthKeepers Silver OAPOS 2000/50%/6350 (CY) | POS | 1N8M | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11055 | Anthem HealthKeepers Silver OAPOS 2800E/20%/4000 w/HSA (PY) | POS | 1N8N | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11056 | Anthem HealthKeepers Silver POS 2500/30%/5000 Plus (CY) | POS | 1N8S | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11057 | Anthem HealthKeepers Bronze POS 4000/20%/6350 Plus w/HSA (CY) | POS | 1N8W | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11058 | Anthem HealthKeepers Silver OAPOS 3500/0%/3500 w/HSA (CY) | POS | 1N8X | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11059 | Anthem HealthKeepers Gold POS 1000/20%/3000 Plus w/Dental (CY) | POS | 1N8Z | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11060 | Anthem HealthKeepers Gold POS 1000/20%/3000 Plus (CY) | POS | 1N91 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11061 | Anthem HealthKeepers Silver OAPOS 5000/0%/5000 w/HRA (PY) | POS | 1N93 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11062 | Anthem HealthKeepers Gold OAPOS 500/20%/3500 V2 (PY) | POS | 1N95 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11063 | Anthem HealthKeepers Gold OAPOS 1500/20%/5000 w/HRA (PY) | POS | 1N97 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11064 | Anthem HealthKeepers Gold OAPOS 1000/30%/2500 (PY) | POS | 1N99 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11065 | Anthem HealthKeepers Gold OAPOS 2000/20%/5000 w/HRA (PY) | POS | 1N9B | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11066 | Anthem Gold PPO 2000/20%/5000 w/HRA (PY) | PPO | 1N9D | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11067 | Anthem Gold PPO 3000/0%/3000 w/HRA (PY) | PPO | 1N9F | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11068 | Anthem HealthKeepers Gold OAPOS 3000/0%/3000 w/HRA (PY) | POS | 1N9H | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11069 | Anthem HealthKeepers Bronze POS 6300/0%/6300 Plus w/HSA w/Dental (CY) | POS | 1N9J | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11070 | Anthem Silver PPO 2500/20%/4500 w/HSA (PY) | PPO | 1N9M | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11071 | Anthem HealthKeepers Silver OAPOS 2500/20%/4500 w/HSA (PY) | POS | 1N9P | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11072 | Anthem HealthKeepers Silver OAPOS 1500/20%/6350 w/HSA (PY) | POS | 1N9Q | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11073 | Anthem Silver PPO 3500/0%/3500 w/HSA (CY) | PPO | 1N9T | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11074 | Anthem HealthKeepers Gold POS 500/20%/3500 Plus (CY) | POS | 1N9U | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11075 | Anthem HealthKeepers Silver POS 1500/35%/5500 Plus (CY) | POS | 1N9W | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11076 | Anthem Silver PPO 2800E/20%/4000 w/HSA (CY) | PPO | 1N9Y | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11077 | Anthem HealthKeepers Silver POS 1250/40%/5500 Plus (CY) | POS | 1NA2 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11078 | Anthem Silver PPO 5000/0%/5000 w/HRA (CY) | PPO | 1NA3 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11079 | Anthem HealthKeepers Bronze POS 6300/0%/6300 Plus w/HSA (CY) | POS | 1NA5 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11080 | Anthem HealthKeepers Bronze OAPOS 5500E/0%/5500 w/HSA (CY) | POS | 1NA7 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11081 | Anthem Gold PPO 1500/20%/5000 w/HRA (PY) | PPO | 1NA8 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11082 | Anthem Gold PPO 1000/20%/3000 V2 (PY) | PPO | 1NA9 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11083 | Anthem HealthKeepers Silver OAPOS 3000E/0%/3000 w/HSA (CY) | POS | 1NAA | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11084 | Anthem Silver PPO 3000E/0%/3000 w/HSA (CY) | PPO | 1NAC | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11085 | Anthem Silver PPO 1500/20%/6350 w/HSA (PY) | PPO | 1NAE | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11086 | Anthem HealthKeepers Silver OAPOS 3000E/0%/3000 w/HSA (PY) | POS | 1NAF | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11087 | Anthem HealthKeepers Gold OAPOS 1000/20%/3000 V2 (PY) | POS | 1NAJ | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11088 | Anthem Gold PPO 500/20%/3500 V2 (PY) | PPO | 1NAK | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11089 | Anthem HealthKeepers Gold OAPOS 2000/30%/4500 w/HSA (PY) | POS | 1NAM | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11090 | Anthem HealthKeepers Silver POS 3000/20%/4500 Plus w/Dental (CY) | POS | 1NAQ | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11091 | Anthem HealthKeepers Gold OAPOS 2000/0%/2000 w/HSA (PY) | POS | 1NAS | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11092 | Anthem Gold PPO 2000/0%/2000 w/HSA (PY) | PPO | 1NAU | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11093 | Anthem Gold PPO 1000/30%/2500 (PY) | PPO | 1NAW | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11094 | Anthem Gold PPO 2000/30%/4500 w/HSA (PY) | PPO | 1NAY | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11095 | Anthem Silver PPO 3000E/0%/3000 w/HSA (PY) | PPO | 1NAZ | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11096 | Anthem Gold PPO 1500/20%/3500 (PY) | PPO | 1NB1 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11097 | Anthem HealthKeepers Silver OAPOS 1500/20%/6350 w/HSA (CY) | POS | 1NB3 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11098 | Anthem HealthKeepers Silver POS 5000/0%/5000 Plus w/HRA (CY) | POS | 1NB4 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11099 | Anthem Gold PPO 35/30%/5500 (CY) | PPO | 1NB6 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11100 | Anthem HealthKeepers Gold OAPOS 1500/20%/3500 (PY) | POS | 1NB9 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11101 | Anthem HealthKeepers Silver OAPOS 2500/20%/4500 w/HSA (CY) | POS | 1NBF | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11102 | Anthem HealthKeepers Gold OAPOS 1500/30%/4250 (CY) | POS | 1NBG | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Platinum | 11103 | Anthem HealthKeepers Platinum OAPOS 10/20%/3000 (CY) | POS | 1NBH | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11104 | Anthem HealthKeepers Bronze POS 3500/30%/6350 Plus w/HSA (CY) | POS | 1NBL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Platinum | 11105 | Anthem Platinum PPO 10/20%/3000 (CY) | PPO | 1NBM | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Platinum | 11106 | Anthem Platinum PPO 10/10%/2500 (CY) | PPO | 1NBP | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Platinum | 11107 | Anthem HealthKeepers Platinum OAPOS 10/10%/2500 (CY) | POS | 1NBR | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11108 | Anthem HealthKeepers Silver POS 3000/20%/4500 Plus (PY) | POS | 1NBT | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11109 | Anthem Silver PPO 2500/20%/4500 w/HSA (CY) | PPO | 1NBU | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11110 | Anthem HealthKeepers Bronze POS 4500/40%/6350 Plus w/HSA (CY) | POS | 1NBX | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11111 | Anthem HealthKeepers Silver POS 2000/30%/4500 Plus w/HSA (CY) | POS | 1NBY | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11112 | Anthem HealthKeepers Silver POS 1750/20%/5000 Plus w/HSA (CY) | POS | 1NC1 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11113 | Anthem HealthKeepers Silver OAPOS 4000/20%/6600 (CY) | POS | 1NC2 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11114 | Anthem HealthKeepers Gold POS 1500/20%/6350 Plus w/HSA (CY) | POS | 1NC4 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11115 | Anthem HealthKeepers Silver POS 1750/20%/5000 Plus w/HSA (PY) | POS | 1NC8 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11116 | Anthem HealthKeepers Bronze POS 4500/40%/6350 Plus w/HSA (PY) | POS | 1NCH | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11117 | Anthem HealthKeepers Gold POS 1500/30%/5000 Plus w/HSA (CY) | POS | 1NCJ | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11118 | Anthem HealthKeepers Gold OAPOS 35/30%/5500 (CY) | POS | 1NCN | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11119 | Anthem HealthKeepers Gold POS 3000/0%/3000 Plus w/HRA (CY) | POS | 1NCP | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11120 | Anthem Gold PPO 2000/30%/4500 w/HSA (CY) | PPO | 1NCU | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11121 | Anthem Gold PPO 1000/30%/2500 (CY) | PPO | 1NCX | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11122 | Anthem Gold PPO 2000/0%/2000 w/HSA (CY) | PPO | 1NCZ | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11123 | Anthem HealthKeepers Gold OAPOS 1500/20%/5000 w/HRA (CY) | POS | 1ND1 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11124 | Anthem HealthKeepers Gold OAPOS 2000/0%/2000 w/HSA (CY) | POS | 1ND2 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11125 | Anthem HealthKeepers Gold OAPOS 500/20%/3500 (CY) | POS | 1ND4 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11126 | Anthem HealthKeepers Silver POS 3000/20%/4500 Plus w/Dental (PY) | POS | 1ND5 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11127 | Anthem Gold PPO 1000/20%/3000 V2 (CY) | PPO | 1ND6 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11128 | Anthem HealthKeepers Gold OAPOS 2000/20%/3500 (CY) | POS | 1ND7 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11129 | Anthem Bronze PPO 5500/0%/5500 w/HSA (CY) | PPO | 1ND8 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11130 | Anthem HealthKeepers Gold OAPOS 1000/20%/3000 (CY) | POS | 1NDA | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11131 | Anthem Gold PPO 2000/20%/3500 (CY) | PPO | 1NDD | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11132 | Anthem Gold PPO 500/20%/3500 V2 (CY) | PPO | 1NDF | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11133 | Anthem HealthKeepers Gold OAPOS 2000/30%/4500 w/HSA (CY) | POS | 1NDH | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11134 | Anthem HealthKeepers Gold OAPOS 500/20%/3500 V2 (CY) | POS | 1NDK | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11135 | Anthem Silver PPO 2800E/20%/4000 w/HSA (PY) | PPO | 1NDM | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11136 | Anthem HealthKeepers Gold OAPOS 1000/30%/2500 (CY) | POS | 1NDP | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11137 | Anthem HealthKeepers Gold OAPOS 3000/0%/3000 w/HRA (CY) | POS | 1NDQ | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11138 | Anthem Gold PPO 1500/20%/3500 (CY) | PPO | 1NDR | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11139 | Anthem HealthKeepers Silver POS 1500/35%/5500 Plus (PY) | POS | 1NDT | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11140 | Anthem Gold PPO 3000/0%/3000 w/HRA (CY) | PPO | 1NDU | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11141 | Anthem HealthKeepers Gold OAPOS 1500/20%/3500 (CY) | POS | 1NDW | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11142 | Anthem Gold PPO 500/20%/3500 (CY) | PPO | 1NE0 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11143 | Anthem Gold PPO 2000/20%/5000 w/HRA (CY) | PPO | 1NE1 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11144 | Anthem HealthKeepers Gold OAPOS 2000/20%/5000 w/HRA (CY) | POS | 1NE5 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11145 | Anthem Silver PPO 3500/0%/3500 w/HSA (PY) | PPO | 1NE6 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11146 | Anthem HealthKeepers Silver OAPOS 2000/20%/6600 (CY) | POS | 1P3Z | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11147 | Anthem HealthKeepers Silver OAPOS 2000/20%/6600 (PY) | POS | 1P41 | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Platinum | 11148 | Anthem HealthKeepers Platinum OAPOS 15/10%/4000 (CY) | POS | 1P43 | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Platinum | 11149 | Anthem HealthKeepers Platinum OAPOS 15/10%/4000 (PY) | POS | 1P45 | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11150 | Anthem HealthKeepers Silver OAPOS 3650E/0%/3650 w/HSA (CY) | POS | 1P47 | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11151 | Anthem HealthKeepers Silver OAPOS 3650E/0%/3650 w/HSA (PY) | POS | 1P49 | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11152 | Anthem HealthKeepers Gold OAPOS 2000/0%/ 5500 (CY) | POS | 1P4B | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11153 | Anthem HealthKeepers Gold OAPOS 2000/0%/ 5500 (PY) | POS | 1P4D | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11154 | Anthem HealthKeepers Gold OAPOS 1000/0%/ 4000 (CY) | POS | 1P4F | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11155 | Anthem HealthKeepers Gold OAPOS 1000/0%/ 4000 (PY) | POS | 1P4H | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11156 | Anthem HealthKeepers Bronze POS 3500/0%/6450 Plus w/HSA (CY) | POS | 1P4K | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Bronze | 11157 | Anthem HealthKeepers Bronze POS 3500/0%/6450 Plus w/HSA (PY) | POS | 1P4M | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11158 | Anthem Silver PPO 3650E/0%/3650 w/HSA (CY) | PPO | 1P4P | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11159 | Anthem Silver PPO 3650E/0%/3650 w/HSA (PY) | PPO | 1P4R | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11160 | Anthem Gold PPO 1000/0%/ 4000 (CY) | PPO | 1P4T | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11161 | Anthem Gold PPO 1000/0%/ 4000 (PY) | PPO | 1P4V | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11162 | Anthem Gold PPO 2000/0%/ 5500 (CY) | PPO | 1P4X | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Gold | 11163 | Anthem Gold PPO 2000/0%/ 5500 (PY) | PPO | 1P4Z | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11164 | Anthem Silver PPO 2000/20%/6600 (CY) | PPO | 1P51 | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Silver | 11165 | Anthem Silver PPO 2000/20%/6600 (PY) | PPO | 1P53 | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Platinum | 11166 | Anthem Platinum PPO 15/10%/4000 (CY) | PPO | 1P55 | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| VA | M | Platinum | 11167 | Anthem Platinum PPO 15/10%/4000 (PY) | PPO | 1P57 | OFF-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | ANT | |
| MD | M | Gold | 11500 | Evergreen Health Care - Small Group Gold Plus Plan (HMO) | HMO | 72564MD0070001 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | EVG | |
| MD | M | Gold | 11501 | Evergreen Health Care - Small Group Gold Plan (HMO) | HMO | 72564MD0070002 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | EVG | |
| MD | M | Silver | 11502 | Evergreen Health Care - Small Group Silver Plus Plan (HMO) | HMO | 72564MD0070003 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | EVG | |
| MD | M | Silver | 11503 | Evergreen Health Care - Small Group Silver Plan (HMO) | HMO | 72564MD0070004 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | EVG | |
| MD | M | Gold | 11504 | Evergreen Health Insurance - Small Group Gold Plus Plan (POS) | POS | 72564MD0080001 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | EVG | |
| MD | M | Gold | 11505 | Evergreen Health Insurance - Small Group Gold Plan (POS) | POS | 72564MD0080002 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | EVG | |
| MD | M | Silver | 11506 | Evergreen Health Insurance - Silver Plus Plan (POS) | POS | 72564MD0080003 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | EVG | |
| MD | M | Silver | 11507 | Evergreen Health Insurance - Small Group Silver Plan (POS) | POS | 72564MD0080004 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | EVG | |
| MD | M | Bronze | 11508 | Evergreen Health Insurance - Small Group Bronze Plan (POS) | POS | 72564MD0080005 | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | EVG | |
| MD | M | Gold | 11509 | Evergreen Health Care - Small Group Gold HSA-HRA Plan (HMO) | HMO | 72564MD0070005 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | EVG | |
| MD | M | Silver | 11510 | Evergreen Health Care - Small Group Silver HSA-HRA Plan (HMO) | HMO | 72564MD0070006 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | EVG | |
| MD | M | Platinum | 11511 | Evergreen Health Care - Small Group Platinum Plan (HMO) | HMO | 72564MD0070007 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | EVG | |
| MD | M | Bronze | 11512 | Evergreen Health Insurance - Small Group Bronze HSA-HRA Plan (POS) | POS | 72564MD0080006 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | EVG | |
| MD | M | Silver | 11513 | Evergreen Health Insurance - Small Group Silver HSA-HRA Plan (POS) | POS | 72564MD0080007 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | EVG | |
| MD | M | Gold | 11514 | Evergreen Health Insurance - Small Group Gold HSA-HRA Plan (POS) | POS | 72564MD0080008 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | EVG | |
| MD | M | Platinum | 11515 | Evergreen Health Insurance - Small Group Platinum Plan (POS) | POS | 72564MD0080009 | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | EVG | |
| MD | M | Platinum | 11600 | Evergreen Health Open-Access Platinum 500 | HMO | 72564MD0070009 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Gold | 11601 | Evergreen Health Open-Access Gold Plus 1500 | HMO | 72564MD0070010 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Gold | 11602 | Evergreen Health Open-Access Gold HSA 1350 | HMO | 72564MD0070011 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Silver | 11603 | Evergreen Health Open-Access Silver HSA 2000 | HMO | 72564MD0070012 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Silver | 11604 | Evergreen Health Open-Access Silver Plus 3000 | HMO | 72564MD0070013 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Bronze | 11605 | Evergreen Health Open-Access Bronze HSA 4000 | HMO | 72564MD0070008 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Platinum | 11606 | Evergreen Health POS Platinum 500 | POS | 72564MD0080010 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Gold | 11607 | Evergreen Health POS Gold 1000 | POS | 72564MD0080011 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Gold | 11608 | Evergreen Health POS Gold Plus 1500 | POS | 72564MD0080012 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Gold | 11609 | Evergreen Health POS Gold HSA 1350 | POS | 72564MD0080013 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Silver | 11610 | Evergreen Health POS Silver 1900 | POS | 72564MD0080014 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Silver | 11611 | Evergreen Health POS Silver Plus 3000 | POS | 72564MD0080015 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Silver | 11612 | Evergreen Health POS Silver HSA 2000 | POS | 72564MD0080016 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Bronze | 11613 | Evergreen Health POS Bronze HSA 4000 | POS | 72564MD0080017 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Platinum | 11614 | Evergreen Health Select Platinum 500 | HMO | 72564MD0220001 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Gold | 11615 | Evergreen Health Select Gold 1500 | HMO | 72564MD0220002 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Silver | 11616 | Evergreen Health Select Silver 3500 | HMO | 72564MD0220003 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Platinum | 11617 | Evergreen Health Open-Access Platinum 500 (SHOP) | HMO | 72564MD0070009-S | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Gold | 11618 | Evergreen Health Open-Access Gold Plus 1500 (SHOP) | HMO | 72564MD0070010-S | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Silver | 11620 | Evergreen Health Open-Access Silver HSA 2000 (SHOP) | HMO | 72564MD0070012-S | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Bronze | 11622 | Evergreen Health Open-Access Bronze HSA 4000 (SHOP) | HMO | 72564MD0070008-S | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Gold | 11626 | Evergreen Health POS Gold HSA 1350 (SHOP) | POS | 72564MD0080013-S | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Silver | 11629 | Evergreen Health POS Silver HSA 2000 (SHOP) | POS | 72564MD0080016-S | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Bronze | 11630 | Evergreen Health POS Bronze HSA 4000 (SHOP) | POS | 72564MD0080017-S | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Platinum | 11631 | Evergreen Health Select Platinum 500 (SHOP) | HMO | 72564MD0220001-S | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Gold | 11632 | Evergreen Health Select Gold 1500 (SHOP) | HMO | 72564MD0220002-S | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Silver | 11633 | Evergreen Health Select Silver 3500 (SHOP) | HMO | 72564MD0220003-S | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | EVG | |
| MD | M | Silver | 11650 | Evergreen Health Small Group POS Silver HSA 2000 | POS | 72564MD0080024 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | EVG | |
| MD | M | Silver | 11651 | Evergreen Health Small Group HMO Silver HSA 2000 | HMO | 72564MD0070023 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | EVG | |
| MD | M | Silver | 11652 | Evergreen Health Small Group HMO Silver Plus 3500 | HMO | 72564MD0070024 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | EVG | |
| MD | M | Gold | 11653 | Evergreen Health Small Group HMO Gold HSA 1350 | HMO | 72564MD0070022 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | EVG | |
| MD | M | Gold | 11654 | Evergreen Health Small Group HMO Gold Plus 1500 | HMO | 72564MD0070021 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | EVG | |
| MD | M | Gold | 11655 | Evergreen Health Small Group Select Gold 1500 | HMO | 72564MD0220011 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | EVG | |
| MD | M | Platinum | 11656 | Evergreen Health Small Group POS Platinum 500 | POS | 72564MD0080020 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | EVG | |
| MD | M | Platinum | 11657 | Evergreen Health Small Group Select Platinum 500 | HMO | 72564MD0220010 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | EVG | |
| MD | M | Bronze | 11658 | Evergreen Health Small Group HMO Bronze 4250 | HMO | 72564MD0070025 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | EVG | |
| MD | M | Bronze | 11659 | Evergreen Health Small Group POS Bronze 4250 | POS | 72564MD0080025 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | EVG | |
| MD | M | Gold | 11660 | Evergreen Health Small Group POS Gold Plus 1500 | POS | 72564MD0080021 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | EVG | |
| MD | M | Silver | 11661 | Evergreen Health Small Group POS Silver Plus 3500 | POS | 72564MD0080023 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | EVG | |
| MD | M | Silver | 11662 | Evergreen Health Small Group HMO National Silver HSA 2000 | HMO | 72564MD0230001 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | EVG | |
| MD | M | Silver | 11663 | Evergreen Health Small Group HMO National Silver Plus 3500 | HMO | 72564MD0230002 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | EVG | |
| MD | M | Platinum | 11664 | Evergreen Health Small Group HMO Platinum 500 | HMO | 72564MD0070020 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | EVG | |
| MD | M | Gold | 11665 | Evergreen Health Small Group POS Gold HSA 1350 | POS | 72564MD0080022 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | EVG | |
| MD | M | Silver | 11666 | Evergreen Health Small Group Select Silver 5150 | HMO | 72564MD0220012 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | EVG | |
| MD | M | Platinum | 12000 | KP MD Platinum 0/20/Dental/Ped Dental (Select) | HMO | 1SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Platinum | 12001 | KP MD Platinum 0/20/Dental/Ped Dental (Signature) | HMO | 1SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Platinum | 12002 | KP MD Platinum 500/20/Dental/Ped Dental (Select) | HMO | 2SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Platinum | 12003 | KP MD Platinum 500/20/Dental/Ped Dental (Signature) | HMO | 2SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Platinum | 12004 | KP MD Platinum 1250/10/HRA/Dental/Ped Dental (Select) | HMO | 3SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Platinum | 12005 | KP MD Platinum 1250/10/HRA/Dental/Ped Dental (Signature) | HMO | 3SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Gold | 12006 | KP MD Gold 0/20/Dental/Ped Dental (Select) | HMO | 4SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Gold | 12007 | KP MD Gold 0/20/Dental/Ped Dental (Signature) | HMO | 4SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Gold | 12008 | KP MD Gold 500/20/Dental/Ped Dental (Select) | HMO | 5SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Gold | 12009 | KP MD Gold 500/20/Dental/Ped Dental (Signature) | HMO | 5SIG | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Gold | 12010 | KP MD Gold 1000/30/Dental/Ped Dental (Select) | HMO | 6SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Gold | 12011 | KP MD Gold 1000/30/Dental/Ped Dental (Signature) | HMO | 6SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Gold | 12012 | KP MD Gold 1250/0%/Dental/Ped Dental (Select) | HMO | 7SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Gold | 12013 | KP MD Gold 1250/0%/Dental/Ped Dental (Signature) | HMO | 7SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Gold | 12014 | KP MD Gold 1500/30/HSA//HRA/Dental/Ped Dental (Select) | HMO | 8SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Gold | 12015 | KP MD Gold 1500/30/HSA//HRA/Dental/Ped Dental (Signature) | HMO | 8SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Silver | 12016 | KP MD Silver 1250/35/Dental/Ped Dental (Select) | HMO | 9SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Silver | 12017 | KP MD Silver 1250/35/Dental/Ped Dental (Signature) | HMO | 9SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Silver | 12018 | KP MD Silver 2000/35/Dental/Ped Dental (Select) | HMO | 10SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Silver | 12019 | KP MD Silver 2000/35/Dental/Ped Dental (Signature) | HMO | 10SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Silver | 12020 | KP MD Silver 1500/30/HSA/Dental/Ped Dental (Select) | HMO | 11SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Silver | 12021 | KP MD Silver 1500/30/HSA/Dental/Ped Dental (Signature) | HMO | 11SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Silver | 12022 | KP MD Silver 2500/30/HSA//HRA/Dental/Ped Dental (Select) | HMO | 12SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Silver | 12023 | KP MD Silver 2500/30/HSA//HRA/Dental/Ped Dental (Signature) | HMO | 12SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Bronze | 12024 | KP MD Bronze 3550/50/Dental/Ped Dental (Select) | HMO | 13SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Bronze | 12025 | KP MD Bronze 3550/50/Dental/Ped Dental (Signature) | HMO | 13SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Bronze | 12026 | KP MD Bronze 3150/20%/HSA/Dental/Ped Dental (Select) | HMO | 14SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Bronze | 12027 | KP MD Bronze 3150/20%/HSA/Dental/Ped Dental (Signature) | HMO | 14SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Bronze | 12028 | KP MD Bronze 2900/20/HSA/Dental/Ped Dental (Select) | POS | 15SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Bronze | 12029 | KP MD Bronze 2900/20/HSA/Dental/Ped Dental (Signature) | POS | 15SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Platinum | 12030 | KP VA Platinum 0/20/Dental (Select) | HMO | 16SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Platinum | 12031 | KP VA Platinum 0/20/Dental/Sig (Signature) | HMO | 16SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Platinum | 12032 | KP VA Platinum 500/20/Dental (Select) | HMO | 17SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Platinum | 12033 | KP VA Platinum 500/20/Dental/Sig (Signature) | HMO | 17SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Platinum | 12034 | KP VA Platinum 1250/10/HRA/Dental (Select) | HMO | 18SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Platinum | 12035 | KP VA Platinum 1250/10/HRA/Dental/Sig (Signature) | HMO | 18SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Gold | 12036 | KP VA Gold 0/20/Dental (Select) | HMO | 19SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Gold | 12037 | KP VA Gold 0/20/Dental/Sig (Signature) | HMO | 19SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Gold | 12038 | KP VA Gold 500/20/Dental/Ped Dental (Select) | HMO | 20SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Gold | 12039 | KP VA Gold 500/20/Dental/Ped Dental/Sig (Signature) | HMO | 20SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Gold | 12040 | KP VA Gold 1000/30/Dental (Select) | HMO | 21SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Gold | 12041 | KP VA Gold 1000/30/Dental/Sig (Signature) | HMO | 21SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Gold | 12042 | KP VA Gold 1250/0%/Dental (Select) | HMO | 22SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Gold | 12043 | KP VA Gold 1250/0%/Dental/Sig (Signature) | HMO | 22SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Gold | 12044 | KP VA Gold 1500/30/HSA/HRA/Dental (Select) | HMO | 23SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Gold | 12045 | KP VA Gold 1500/30/HSA/HRA/Dental/Sig (Signature) | HMO | 23SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Silver | 12046 | KP VA Silver 1250/35/Dental (Select) | HMO | 24SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Silver | 12047 | KP VA Silver 1250/35/Dental/Sig (Signature) | HMO | 24SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Silver | 12048 | KP VA Silver 2000/35/Dental (Select) | HMO | 25SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Silver | 12049 | KP VA Silver 2000/35/Dental/Sig (Signature) | HMO | 25SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Silver | 12050 | KP VA Silver 1500/30/HSA/Dental (Select) | HMO | 26SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Silver | 12051 | KP VA Silver 1500/30/HSA/Dental/Sig (Signature) | HMO | 26SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Silver | 12052 | KP VA Silver 2500/30/HSA//HRA/Dental (Select) | HMO | 27SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Silver | 12053 | KP VA Silver 2500/30/HSA//HRA/Dental/Sig (Signature) | HMO | 27SIG | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Bronze | 12054 | KP VA Bronze 4500/50/Dental (Select) | HMO | 28SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Bronze | 12055 | KP VA Bronze 4500/50/Dental/Sig (Signature) | HMO | 28SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Bronze | 12056 | KP VA Bronze 3500/20%/HSA/Dental (Select) | HMO | 29SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Bronze | 12057 | KP VA Bronze 3500/20%/HSA/Dental/Sig (Signature) | HMO | 29SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Bronze | 12058 | KP VA Bronze 4500/20/HSA/Dental (Select) | POS | 30SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Bronze | 12059 | KP VA Bronze 4500/20/HSA/Dental/Sig (Signature) | POS | 30SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Gold | 12060 | KP VA Gold 0/$20/POS/Dental (Select) | POS | 31SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Gold | 12061 | KP VA Gold 0/$20/POS/Dental/Sig (Signature) | POS | 31SIG | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Gold | 12062 | KP VA Gold 1000/30/POS/Dental (Select) | POS | 32SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Gold | 12063 | KP VA Gold 1000/30/POS/Dental/Sig (Signature) | POS | 32SIG | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| DC | M | Platinum | 12064 | KP DC Platinum 0/20/Dental/Ped Dental (Select) | HMO | 94506DC0350016 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Platinum | 12065 | KP DC Platinum 0/20/Dental/Ped Dental (Signature) | HMO | 94506DC0350001 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Platinum | 12066 | KP DC Platinum 500/20/Dental/Ped Dental (Select) | HMO | 94506DC0350017 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Platinum | 12067 | KP DC Platinum 500/20/Dental/Ped Dental (Signature) | HMO | 94506DC0350002 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Gold | 12068 | KP DC Gold 500/20/Dental/Ped Dental (Select) | HMO | 94506DC0350022 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Gold | 12069 | KP DC Gold 500/20/Dental/Ped Dental (Signature) | HMO | 94506DC0350021 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Gold | 12070 | KP DC Gold 1000/30/Dental/Ped Dental (Select) | HMO | 94506DC0350019 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Gold | 12071 | KP DC Gold 1000/30/Dental/Ped Dental (Signature) | HMO | 94506DC0350005 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Gold | 12072 | KP DC Gold 1250/0%/Dental/Ped Dental (Select) | HMO | 94506DC0350020 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Gold | 12073 | KP DC Gold 1250/0%/Dental/Ped Dental (Signature) | HMO | 94506DC0350006 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Gold | 12074 | KP DC Gold 1250/10/Dental/Ped Dental (Signature) | HMO | 39SIG | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Silver | 12075 | KP DC Silver 1250/35/Dental/Ped Dental (Signature) | HMO | 94506DC0350008 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Silver | 12076 | KP DC Silver 2000/35/Dental/Ped Dental (Signature) | HMO | 94506DC0350009 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Silver | 12077 | KP DC Silver 1500/30/20%/HSA/Dental/Ped Dental (Signature) | HMO | 94506DC0350010 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Silver | 12078 | KP DC Silver 1500/30/10%/HSA/Dental/Ped Dental (Signature) | HMO | 44SIG | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Bronze | 12079 | KP DC Bronze 4500/50/Dental/Ped Dental (Signature) | HMO | 94506DC0350012 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Bronze | 12080 | KP DC Bronze 2750/40/30%/HSA/Dental/Ped Dental (Signature) | HMO | 47SIG | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Bronze | 12081 | KP DC Bronze 3500/20%/HSA/Dental/Ped Dental (Signature) | HMO | 48SIG | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Bronze | 12082 | KP DC Bronze 4500/20/HSA/Dental/Ped Dental (Signature) | HMO | 49SIG | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Bronze | 12083 | KP DC Bronze 4500/50/POS/Dental/Ped Dental (Signature) | POS | 94506DC0360001 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Silver | 12084 | KP DC Silver 2000/35/POS/Dental/Ped Dental (Signature) | POS | 94506DC0360002 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| DC | M | Gold | 12085 | KP DC Gold 1000/30/POS/Dental/Ped Dental (Signature) | POS | 94506DC0360003 | ON-SHOP |
Benefits
| 7/1/2015 | 12/31/2015 | KAI | |
| MD | M | Bronze | 12086 | KP MD Bronze 3550/50/POS/Dental/Ped Dental (Select) | POS | 81SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Bronze | 12087 | KP MD Bronze 3550/50/POS/Dental/Ped Dental (Signature) | POS | 81SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Gold | 12088 | KP MD Gold 1000/30/POS/Dental/Ped Dental (Select) | POS | 82SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Gold | 12089 | KP MD Gold 1000/30/POS/Dental/Ped Dental (Signature) | POS | 82SIG | ON-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Silver | 12090 | KP MD Silver 2000/35/POS/Dental/Ped Dental (Select) | POS | 85SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | M | Silver | 12091 | KP MD Silver 2000/35/POS/Dental/Ped Dental (Signature) | POS | 85SIG | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Silver | 12092 | KP VA Silver 2000/35/POS/Dental/Sig (Signature) | POS | 86SIG | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| VA | M | Silver | 12093 | KP VA Silver 2000/35/POS/Dental (Select) | POS | 86SEL | OFF-SHOP |
Benefits
| 1/1/2015 | 12/31/2015 | KAI | |
| MD | D | N/A | 12100 | DNO Copay 73I | DEN | 69375 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| VA | D | N/A | 12101 | DNO Copay 73I | DEN | 69332 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| MD | D | N/A | 12102 | DNO Copay 73I Ortho | DEN | 69376 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| VA | D | N/A | 12103 | DNO Copay 73I Ortho | DEN | 69390 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| MD | D | N/A | 12104 | FOC - DNO 73I /PPO Max 1000 | DEN | 69377 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| VA | D | N/A | 12105 | FOC - DNO 73I /PPO Max 1000 | DEN | 69391 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| MD | D | N/A | 12106 | FOC - DNO 73I /PPO Max 1000 Ortho | DEN | 69378 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| VA | D | N/A | 12107 | FOC - DNO 73I /PPO Max 1000 Ortho | DEN | 69392 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| MD | D | N/A | 12108 | PPO Max 100/50 | DEN | 69379 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| VA | D | N/A | 12109 | PPO Max 100/50 | DEN | 69393 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| MD | D | N/A | 12110 | PPO Max 100/50 Ortho | DEN | 69380 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| VA | D | N/A | 12111 | PPO Max 100/50 Ortho | DEN | 69394 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| MD | D | N/A | 12112 | PPO Max 100/80 | DEN | 69381 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| VA | D | N/A | 12113 | PPO Max 100/80 | DEN | 69395 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| MD | D | N/A | 12114 | PPO Max 100/80 Ortho | DEN | 69382 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| VA | D | N/A | 12115 | PPO Max 100/80 Ortho | DEN | 69396 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| MD | D | N/A | 12116 | PPO Max 100/70/40 | DEN | 69383 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| VA | D | N/A | 12117 | PPO Max 100/70/40 | DEN | 69397 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| MD | D | N/A | 12118 | PPO Max 100/70/40 Ortho | DEN | 69384 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| VA | D | N/A | 12119 | PPO Max 100/70/40 Ortho | DEN | 69398 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| MD | D | N/A | 12120 | PPO 1000 M | DEN | 69385 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| VA | D | N/A | 12121 | PPO 1000 M | DEN | 69399 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| MD | D | N/A | 12122 | PPO 1000 M Ortho | DEN | 69386 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| VA | D | N/A | 12123 | PPO 1000 M Ortho | DEN | 69400 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| MD | D | N/A | 12124 | PPO 1000 S | DEN | 69387 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| VA | D | N/A | 12125 | PPO 1000 S | DEN | 69401 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| MD | D | N/A | 12126 | PPO 1000 S Ortho | DEN | 69388 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| VA | D | N/A | 12127 | PPO 1000 S Ortho | DEN | 69402 | N/A |
Benefits
| 4/1/2016 | 12/31/2016 | AED | |
| MD | M | Platinum | 12200 | KP MD Platinum 0/20/Dental/Ped Dental (Signature) | HMO | 90296MD0590001 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Platinum | 12201 | KP MD Platinum 500/20/Dental/Ped Dental (Signature) | HMO | 90296MD0590002 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Platinum | 12202 | KP MD Platinum 1350/10/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 90296MD0590003 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Gold | 12203 | KP MD Gold 0/20/Dental/Ped Dental (Signature) | HMO | 90296MD0590004 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Gold | 12204 | KP MD Gold 500/20/Dental/Ped Dental (Signature) | HMO | 90296MD0590029 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Gold | 12205 | KP MD Gold 1000/30/Dental/Ped Dental (Signature) | HMO | 90296MD0590005 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Gold | 12206 | KP MD Gold 1350/0%/HSA/ Dental/Ped Dental (Signature) | HMO | 90296MD0590006 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Gold | 12207 | KP MD Gold 1500/30/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 90296MD0590007 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Gold | 12208 | KP MD Gold 1000/30/2TPOS/Dental/Ped Dental (Signature) | POS | 90296MD0600001 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Silver | 12209 | KP MD Silver 1250/35/Dental/Ped Dental (Signature) | HMO | 90296MD0590008 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Silver | 12210 | KP MD Silver 2000/35/Dental/Ped Dental (Signature) | HMO | 90296MD0590009 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Silver | 12211 | KP MD Silver 1500/30/HSA/Dental/Ped Dental (Signature) | HMO | 90296MD0590010 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Silver | 12212 | KP MD Silver 2500/30/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 90296MD0590011 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Silver | 12213 | KP MD Silver 2000/35/POS/Dental/Ped Dental (Signature) | POS | 90296MD0600002 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Bronze | 12214 | KP MD Bronze 4500/50/Dental/Ped Dental (Signature) | HMO | 90296MD0590012 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Bronze | 12215 | KP MD Bronze 4500/50/POS/Dental/Ped Dental (Signature) | POS | 90296MD0600003 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Platinum | 12216 | KP MD Platinum 0/20/Dental/Ped Dental (Select) | HMO | 90296MD0590015 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Platinum | 12217 | KP MD Platinum 500/20/Dental/Ped Dental (Select) | HMO | 90296MD0590016 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Platinum | 12218 | KP MD Platinum 1350/10/HSA/HRA/Dental/Ped Dental (Select) | HMO | 90296MD0590017 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Gold | 12219 | KP MD Gold 0/20/Dental/Ped Dental (Select) | HMO | 90296MD0590018 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Gold | 12220 | KP MD Gold 500/20/Dental/Ped Dental (Select) | HMO | 90296MD0590030 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Gold | 12221 | KP MD Gold 1000/30/Dental/Ped Dental (Select) | HMO | 90296MD0590019 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Gold | 12222 | KP MD Gold 1350/0%/HSA/ Dental/Ped Dental (Select) | HMO | 90296MD0590020 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Gold | 12223 | KP MD Gold 1500/30/HSA/HRA/Dental/Ped Dental (Select) | HMO | 90296MD0590021 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Gold | 12224 | KP MD Gold 1000/30/2TPOS/Dental/Ped Dental (Select) | POS | 90296MD0600005 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Silver | 12225 | KP MD Silver 1250/35/Dental/Ped Dental (Select) | HMO | 90296MD0590022 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Silver | 12226 | KP MD Silver 2000/35/Dental/Ped Dental (Select) | HMO | 90296MD0590023 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Silver | 12227 | KP MD Silver 1500/30/HSA/Dental/Ped Dental (Select) | HMO | 90296MD0590024 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Silver | 12228 | KP MD Silver 2500/30/HSA/HRA/Dental/Ped Dental (Select) | HMO | 90296MD0590025 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Silver | 12229 | KP MD Silver 2000/35/POS/Dental/Ped Dental (Select) | POS | 90296MD0600006 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Bronze | 12230 | KP MD Bronze 4500/50/Dental/Ped Dental (Select) | HMO | 90296MD0590026 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Bronze | 12231 | KP MD Bronze 4500/50/POS/Dental/Ped Dental (Select) | POS | 90296MD0600004 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Platinum | 12232 | KP MD Platinum 0/20/Dental/Ped Dental (Signature) | HMO | 90296MD0570001 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Platinum | 12233 | KP MD Platinum 500/20/Dental/Ped Dental (Signature) | HMO | 90296MD0570002 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Platinum | 12234 | KP MD Platinum 1350/10/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 90296MD0570003 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Gold | 12235 | KP MD Gold 0/20/Dental/Ped Dental (Signature) | HMO | 90296MD0570004 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Gold | 12236 | KP MD Gold 1000/30/Dental/Ped Dental (Signature) | HMO | 90296MD0570005 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Gold | 12237 | KP MD Gold 1350/0%/HSA/ Dental/Ped Dental (Signature) | HMO | 90296MD0570006 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Gold | 12238 | KP MD Gold 1500/30/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 90296MD0570007 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Silver | 12239 | KP MD Silver 1250/35/Dental/Ped Dental (Signature) | HMO | 90296MD0570008 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Silver | 12240 | KP MD Silver 2000/35/Dental/Ped Dental (Signature) | HMO | 90296MD0570009 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Silver | 12241 | KP MD Silver 1500/30/HSA/Dental/Ped Dental (Signature) | HMO | 90296MD0570010 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Silver | 12242 | KP MD Silver 2500/30/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 90296MD0570011 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Platinum | 12243 | KP VA Platinum 0/20/Dental/Ped Dental (Signature) | HMO | 95185VA0510001 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Platinum | 12244 | KP VA Platinum 500/20/Dental/Ped Dental (Signature) | HMO | 95185VA0510002 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Platinum | 12245 | KP VA Platinum 1350/10/HRA/HSA/Dental/Ped Dental (Signature) | HMO | 95185VA0510003 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12246 | KP VA Gold 0/20/Dental/Ped Dental (Signature) | HMO | 95185VA0510004 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12247 | KP VA Gold 500/20/Dental/Ped Dental (Signature) | HMO | 95185VA0510029 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12248 | KP VA Gold 1000/30/Dental/Ped Dental (Signature) | HMO | 95185VA0510005 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12249 | KP VA Gold 1350/0%/HSA/Dental/Ped Dental (Signature) | HMO | 95185VA0510006 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12250 | KP VA Gold 1500/30/HSA//HRA/Dental/Ped Dental (Signature) | HMO | 95185VA0510007 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12251 | KP VA Gold 1000/30/POS/Dental/Ped Dental (Signature) | POS | 95185VA0520002 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Silver | 12252 | KP VA Silver 1250/35/Dental/Ped Dental (Signature) | HMO | 95185VA0510008 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Silver | 12253 | KP VA Silver 1500/30/HSA/Dental/Ped Dental (Signature) | HMO | 95185VA0510010 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Silver | 12254 | KP VA Silver 2000/35/Dental/Ped Dental (Signature) | HMO | 95185VA0510009 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Silver | 12255 | KP VA Silver 2500/30/HSA//HRA/Dental/Ped Dental (Signature) | HMO | 95185VA0510011 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Silver | 12256 | KP VA Silver 2000/35/POS/Dental/Ped Dental (Signature) | POS | 95185VA0520003 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Bronze | 12257 | KP VA Bronze 4500/50/Dental/Ped Dental (Signature) | HMO | 95185VA0510012 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Platinum | 12258 | KP VA Platinum 0/20/Dental/Ped Dental (Select) | HMO | 95185VA0510015 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Platinum | 12259 | KP VA Platinum 500/20/Dental/Ped Dental (Select) | HMO | 95185VA0510016 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Platinum | 12260 | KP VA Platinum 1350/10/HRA/HSA/Dental/Ped Dental (Select) | HMO | 95185VA0510017 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12261 | KP VA Gold 0/20/Dental/Ped Dental (Select) | HMO | 95185VA0510018 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12262 | KP VA Gold 500/20/Dental/Ped Dental (Select) | HMO | 95185VA0510030 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12263 | KP VA Gold 1000/30/Dental/Ped Dental (Select) | HMO | 95185VA0510019 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12264 | KP VA Gold 1350/0%/HSA/Dental/Ped Dental (Select) | HMO | 95185VA0510020 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12265 | KP VA Gold 1500/30/HSA//HRA/Dental/Ped Dental (Select) | HMO | 95185VA0510021 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12266 | KP VA Gold 1000/30/POS/Dental/Ped Dental (Select) | POS | 95185VA0520005 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Silver | 12267 | KP VA Silver 1250/35/Dental/Ped Dental (Select) | HMO | 95185VA0510022 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Silver | 12268 | KP VA Silver 1500/30/HSA/Dental/Ped Dental (Select) | HMO | 95185VA0510024 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Silver | 12269 | KP VA Silver 2000/35/Dental/Ped Dental (Select) | HMO | 95185VA0510023 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Silver | 12270 | KP VA Silver 2500/30/HSA//HRA/Dental/Ped Dental (Select) | HMO | 95185VA0510025 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Silver | 12271 | KP VA Silver 2000/35/POS/Dental/Ped Dental (Select) | POS | 95185VA0520006 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Bronze | 12272 | KP VA Bronze 4500/50/Dental/Ped Dental (Select) | HMO | 95185VA0510026 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Platinum | 12273 | KP VA Platinum 0/20/Dental/Ped Dental (Signature) | HMO | 95185VA0500001 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Platinum | 12274 | KP VA Platinum 500/20/Dental/Ped Dental (Signature) | HMO | 95185VA0500002 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Platinum | 12275 | KP VA Platinum 1350/10/HRA/HSA/Dental/Ped Dental (Signature) | HMO | 95185VA0500003 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12276 | KP VA Gold 0/20/Dental/Ped Dental (Signature) | HMO | 95185VA0500004 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12277 | KP VA Gold 500/20/Dental/Ped Dental (Signature) | HMO | 95185VA0500015 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12278 | KP VA Gold 1000/30/Dental/Ped Dental (Signature) | HMO | 95185VA0500005 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12279 | KP VA Gold 1350/0%/HSA/Dental/Ped Dental (Signature) | HMO | 95185VA0500006 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12280 | KP VA Gold 1500/30/HSA//HRA/Dental/Ped Dental (Signature) | HMO | 95185VA0500007 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Silver | 12281 | KP VA Silver 1250/35/Dental/Ped Dental (Signature) | HMO | 95185VA0500008 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Silver | 12282 | KP VA Silver 1500/30/HSA/Dental/Ped Dental (Signature) | HMO | 95185VA0500010 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Silver | 12283 | KP VA Silver 2000/35/Dental/Ped Dental (Signature) | HMO | 95185VA0500009 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Silver | 12284 | KP VA Silver 2500/30/HSA//HRA/Dental/Ped Dental (Signature) | HMO | 95185VA0500011 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Bronze | 12285 | KP VA Bronze 4500/50/Dental/Ped Dental (Signature) | HMO | 95185VA0500012 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Platinum | 12286 | KP DC Platinum 0/20/Dental/Ped Dental (Signature) | HMO | 94506DC0350001 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Platinum | 12287 | KP DC Platinum 500/20/Dental/Ped Dental (Signature) | HMO | 94506DC0350002 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Gold | 12288 | KP DC Gold 500/20/Dental/Ped Dental (Signature) | HMO | 94506DC0350021 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Gold | 12289 | KP DC Gold 1000/30/Dental/Ped Dental (Signature) | HMO | 94506DC0350005 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Gold | 12290 | KP DC Gold 1350/0%/HSA/Dental/Ped Dental (Signature) | HMO | 94506DC0350006 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Gold | 12291 | KP DC Gold 1000/30/POS/Dental/Ped Dental (Signature) | POS | 94506DC0360003 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Silver | 12292 | KP DC Silver 1250/35/Dental/Ped Dental (Signature) | HMO | 94506DC0350008 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Silver | 12293 | KP DC Silver 2000/35/Dental/Ped Dental (Signature) | HMO | 94506DC0350009 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Silver | 12294 | KP DC Silver 1500/30/HSA/Dental/Ped Dental (Signature) | HMO | 94506DC0350010 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Silver | 12295 | KP DC Silver 2000/35/POS/Dental/Ped Dental (Signature) | POS | 94506DC0360002 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Bronze | 12296 | KP DC Bronze 4500/50/Dental/Ped Dental (Signature) | HMO | 94506DC0350012 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Bronze | 12297 | KP DC Bronze 4500/50/POS/Dental/Ped Dental (Signature) | POS | 94506DC0360001 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Platinum | 12298 | KP DC Platinum 0/20/Dental/Ped Dental (Select) | HMO | 94506DC0350016 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Platinum | 12299 | KP DC Platinum 500/20/Dental/Ped Dental (Select) | HMO | 94506DC0350017 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Gold | 12300 | KP DC Gold 0/20/Dental/Ped Dental (Select) | HMO | 94506DC0350018 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Gold | 12301 | KP DC Gold 500/20/Dental/Ped Dental (Select) | HMO | 94506DC0350022 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Gold | 12302 | KP DC Gold 1000/30/Dental/Ped Dental (Select) | HMO | 94506DC0350019 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Gold | 12303 | KP DC Gold 1350/0%/HSA/Dental/Ped Dental (Select) | HMO | 94506DC0350020 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Gold | 12305 | KP MD Gold 1000/25/3TPOS/ Dental/Ped Dental (Signature) | POS | 90296MD0600007 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Bronze | 12306 | KP MD Bronze 5000 /20/30%/HSA/Dental/Ped Dental (Signature) | HMO | 90296MD0590014 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Bronze | 12307 | KP MD Bronze 6000/30 /10%/HSA/Dental/Ped Dental (Signature) | HMO | 90296MD0590013 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Bronze | 12308 | KP MD Bronze 5000 /20/30%/HSA/Dental/Ped Dental (Select) | HMO | 90296MD0590028 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Bronze | 12309 | KP MD Bronze 6000/30 /10%/HSA/Dental/Ped Dental (Select) | HMO | 90296MD0590027 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Bronze | 12310 | KP MD Bronze 4500/50/Dental/Ped Dental (Signature) | HMO | 90296MD0570012 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Bronze | 12311 | KP MD Bronze 5000 /20/30%/HSA/Dental/Ped Dental (Signature) | HMO | 90296MD0570014 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Bronze | 12312 | KP MD Bronze 6000/30 /10%/HSA/Dental/Ped Dental (Signature) | HMO | 90296MD0570013 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| MD | M | Bronze | 12313 | KP MD Bronze 4500/50/POS/Dental/Ped Dental (Signature) | POS | 90296MD0580001 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12314 | KP VA Gold 0/20/POS/Dental/Ped Dental (Signature) | POS | 95185VA0520001 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12315 | KP VA Gold 1000/25 3TPOS (Signature) | POS | 95185VA0520007 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Bronze | 12316 | KP VA Bronze 5000/20/HSA/Dental/Ped Dental (Signature) | HMO | 95185VA0510014 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Bronze | 12317 | KP VA Bronze 6000/30/HSA/Dental/Ped Dental (Signature) | HMO | 95185VA0510013 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Gold | 12318 | KP VA Gold 0/20/POS/Dental/Ped Dental (Select) | POS | 95185VA0520004 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Bronze | 12319 | KP VA Bronze 5000/20/HSA/Dental/Ped Dental (Select) | HMO | 95185VA0510028 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Bronze | 12320 | KP VA Bronze 6000/30/HSA/Dental/Ped Dental (Select) | HMO | 95185VA0510027 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Bronze | 12321 | KP VA Bronze 5000/20/HSA/Dental/Ped Dental (Signature) | HMO | 95185VA0500014 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| VA | M | Bronze | 12322 | KP VA Bronze 6000/30/HSA/Dental/Ped Dental (Signature) | HMO | 95185VA0500013 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Gold | 12323 | KP DC Gold 0/20/Dental/Ped Dental (Signature) | HMO | 94506DC0350004 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Gold | 12324 | KP DC Gold 1500/10/HSA/Dental/Ped Dental (Signature) | HMO | 94506DC0350007 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Silver | 12325 | KP DC Silver 2500/30/10%/HSA/Dental/Ped Dental (Signature) | HMO | 94506DC0350011 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Bronze | 12326 | KP DC Bronze 6000/30/10%/HSA/Dental/Ped Dental (Signature) | HMO | 94506DC0350015 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Bronze | 12327 | KP DC Bronze 5000/20%/HSA/Dental/Ped Dental (Signature) | HMO | 94506DC0350013 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Bronze | 12328 | KP DC Bronze 5000/20/30%/HSA/Dental/Ped Dental (Signature) | HMO | 94506DC0350014 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | KAI | |
| DC | M | Gold | 13019 | KP DC Gold 0/20/Dental/Ped Dental/Sel (Select) | HMO | 94506DC0350018 | ON-SHOP |
Benefits
| 10/1/2015 | 12/31/2015 | KAI | |
| VA | M | Platinum | 16000 | Aetna VA Platinum PPO 100/50 300A | PPO | 14028212 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Platinum | 16001 | Aetna VA Platinum PPO 90/50 | PPO | 14028213 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16002 | Aetna VA Gold PPO 100/50 500A | PPO | 14028214 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16003 | Aetna VA Gold PPO 80/50 SS | PPO | 14028215 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16004 | Aetna VA Gold PPO 500 80/50 | PPO | 14028216 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16005 | Aetna VA Gold PPO 1000 100/50 | PPO | 14028217 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16006 | Aetna VA Gold PPO 1000 80/50 | PPO | 14028218 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16007 | Aetna VA Silver PPO 2000 100/50 | PPO | 14028219 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16008 | Aetna VA Silver PPO 2000 75/50 SS | PPO | 14028220 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16009 | Aetna VA Silver PPO 2000 60/50 SS | PPO | 14028221 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16010 | Aetna VA Silver PPO 2500 100/50 SJ | PPO | 14028222 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16011 | Aetna VA Silver PPO 2500 70/50 HSA T | PPO | 14028223 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16012 | Aetna VA Silver PPO 3000 100/50 HSA E | PPO | 14028226 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Bronze | 16013 | Aetna VA Bronze PPO 5000 100/50 HSA E | PPO | 14028227 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16014 | Aetna VA Gold PPO 1700 100/50 HSA T | PPO | 14028228 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16015 | Aetna VA Gold HMO 80 | HMO | 14028135 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16016 | Aetna VA Silver HMO 2000 75 | HMO | 14028136 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16017 | Aetna VA Silver HMO 2000 60 | HMO | 14028137 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16018 | Aetna VA Gold AWH PPO 80/60/50 | PPO | 14028247 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16019 | Aetna VA Gold AWH PPO 500 80/60/50 | PPO | 14028248 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16020 | Aetna VA Gold AWH PPO 1000 90/60/50 | PPO | 14028249 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16021 | Aetna VA Silver AWH PPO 2000 75/60/50 | PPO | 14028251 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16022 | Aetna VA Silver AWH PPO 3000 100/70/50 HSA E | PPO | 14028255 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Bronze | 16023 | Aetna VA Bronze AWH PPO 5000 100/70/50 HSA E | PPO | 14028256 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Platinum | 16024 | Aetna VA Platinum HNOnly 100 300A | HMO | 14028090 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Platinum | 16025 | Aetna VA Platinum HNOnly 90 | HMO | 14028091 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16026 | Aetna VA Gold HNOnly 100 500A | HMO | 14028092 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16027 | Aetna VA Gold HMO 100 500A | HMO | 14028134 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16028 | Aetna VA Gold HNOnly 80 SS | HMO | 14028093 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16029 | Aetna VA Gold HNOnly 500 80 | HMO | 14028094 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16030 | Aetna VA Gold HNOnly 1000 100 | HMO | 14028095 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16031 | Aetna VA Gold HMO 1000 100 | HMO | 14028133 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16032 | Aetna VA Gold HNOnly 1000 80 | HMO | 14028123 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16033 | Aetna VA Gold HNOnly 1700 100 HSA T | HMO | 14028124 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16034 | Aetna VA Silver HNOnly 2000 100 | HMO | 14028125 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16035 | Aetna VA Silver HMO 2000 100 | HMO | 14028126 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16036 | Aetna VA Silver HNOnly 2000 75/50 SS | HMO | 14028114 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16037 | Aetna VA Silver HNOnly 2000 60/50 SS | HMO | 14028115 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16038 | Aetna VA Silver HNOnly 2500 100/50 SJ | HMO | 14028116 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16039 | Aetna VA Silver HNOnly 2500 70 HSA T | HMO | 14028117 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16040 | Aetna VA Silver HNOnly 3000 100 HSA E | HMO | 14028120 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Bronze | 16041 | Aetna VA Bronze HNOnly 5000 100 HSA E | HMO | 14028121 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16042 | Aetna VA IH Gold HMO 100 500A | HMO | 14028127 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16043 | Aetna VA IH Gold HMO 80 | HMO | 14028128 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16044 | Aetna VA IH Gold HMO 1000 100 | HMO | 14028129 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16045 | Aetna VA IH Silver HMO 2000 100 | HMO | 14028130 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16046 | Aetna VA IH Silver HMO 2000 75 | HMO | 14028131 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16047 | Aetna VA IH Silver HMO 2000 60 | HMO | 14028132 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Platinum | 16048 | Aetna VA IH Platinum Open HMO 100 300A | HMO | 14028096 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Platinum | 16049 | Aetna VA IH Platinum Open HMO 90 | HMO | 14028097 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16050 | Aetna VA IH Gold Open HMO 100 500A | HMO | 14028098 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16051 | Aetna VA IH Gold Open HMO 80 SS | HMO | 14028099 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16052 | Aetna VA IH Gold Open HMO 500 80 | HMO | 14028100 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16053 | Aetna VA IH Gold Open HMO 1000 100 | HMO | 14028101 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16054 | Aetna VA IH Gold Open HMO 1000 80 | HMO | 14028102 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16055 | Aetna VA IH Gold Open HMO 1700 100 HSA T | HMO | 14028103 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16056 | Aetna VA IH Silver Open HMO 2000 100 | HMO | 14028104 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16057 | Aetna VA IH Silver Open HMO 2000 75/50 SS | HMO | 14028105 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16058 | Aetna VA IH Silver Open HMO 2000 60/50 SS | HMO | 14028106 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16059 | Aetna VA IH Silver Open HMO 2500 100/50 SJ | HMO | 14028107 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16060 | Aetna VA IH Silver Open HMO 2500 70 HSA T | HMO | 14028108 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16061 | Aetna VA IH Silver Open HMO 3000 100 HSA E | HMO | 14028111 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Bronze | 16062 | Aetna VA IH Bronze Open HMO 5000 100 HSA E | HMO | 14028112 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Platinum | 16063 | Aetna VA IH Platinum PPO 100/50 300A | PPO | 14028229 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Platinum | 16064 | Aetna VA IH Platinum PPO 90/50 | PPO | 14028230 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16065 | Aetna VA IH Gold PPO 100/50 500A | PPO | 14028231 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16066 | Aetna VA IH Gold PPO 80/50 SS | PPO | 14028232 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16067 | Aetna VA IH Gold PPO 500 80/50 | PPO | 14028233 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16068 | Aetna VA IH Gold PPO 1000 100/50 | PPO | 14028234 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16069 | Aetna VA IH Gold PPO 1000 80/50 | PPO | 14028235 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16070 | Aetna VA IH Silver PPO 2000 100/50 | PPO | 14028236 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16071 | Aetna VA IH Gold PPO 1700 100/50 HSA T | PPO | 14028237 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16072 | Aetna VA IH Silver PPO 2000 75/50 SS | PPO | 14028238 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16073 | Aetna VA IH Silver PPO 2000 60/50 SS | PPO | 14028239 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16074 | Aetna VA IH Silver PPO 2500 100/50 SJ | PPO | 14028240 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16075 | Aetna VA IH Silver PPO 2500 70/50 HSA T | PPO | 14028241 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16076 | Aetna VA IH Silver PPO 3000 100/50 HSA E | PPO | 14028244 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Bronze | 16077 | Aetna VA IH Bronze PPO 5000 100/50 HSA E | PPO | 14028245 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16078 | Aetna VA IH Signature Plus Gold HMO 1000 100 | HMO | 14028173 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16079 | Aetna VA IH Signature Gold HMO 1000 100 | HMO | 14028175 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16080 | Aetna VA IH Signature Plus Silver HMO 2000 100 | HMO | 14028176 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16081 | Aetna VA IH Signature Silver HMO 2000 100 | HMO | 14028178 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16082 | Aetna VA IH Signature Plus Silver HMO 2500 70 HSA T | HMO | 14028179 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Silver | 16083 | Aetna VA IH Signature Silver HMO 2500 70 HSA T | HMO | 14028181 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Gold | 16100 | Aetna MD Gold HNOnly 500A | HMO | 14029043 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Gold | 16101 | Aetna MD Gold PPO 100/80 500A | PPO | 14029066 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Gold | 16102 | Aetna MD Gold HNOnly 80% | HMO | 14029044 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Gold | 16103 | Aetna MD Gold PPO 80/60 | PPO | 14029067 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Gold | 16104 | Aetna MD Gold HNOnly 1000 70% | HMO | 14029045 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Gold | 16105 | Aetna MD Gold PPO 1000 70/50 | PPO | 14029068 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Gold | 16106 | Aetna MD Gold HNOnly 1700 100% HSA | HMO | 14029052 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Gold | 16107 | Aetna MD Gold PPO 1700 100/80 HSA | PPO | 14029075 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Silver | 16108 | Aetna MD Silver HNOnly 1200 70% | HMO | 14029046 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Silver | 16109 | Aetna MD Silver PPO 1200 70/50 | PPO | 14029069 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Silver | 16110 | Aetna MD Silver HNOnly 1500 70% | HMO | 14029047 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Silver | 16111 | Aetna MD Silver PPO 1500 70/50 | PPO | 14029070 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Silver | 16112 | Aetna MD Silver HNOnly 2000 70% | HMO | 14029048 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Silver | 16113 | Aetna MD Silver PPO 2000 70/50 | PPO | 14029071 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Gold | 16114 | Aetna MD Gold PPO SJ 1500 | PPO | 14029072 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Silver | 16115 | Aetna MD Silver PPO SJ 2500 | PPO | 14029073 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Silver | 16116 | Aetna MD Silver PPO SJ 3500 | PPO | 14029074 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Silver | 16117 | Aetna MD Silver HNOnly 2250 HSA | HMO | 14029053 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Silver | 16118 | Aetna MD Silver PPO 2250 100/80 HSA | PPO | 14029076 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Silver | 16119 | Aetna MD Silver HNOnly 2500 90% HSA | HMO | 14029054 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Silver | 16120 | Aetna MD Silver PPO 2500 90/70 HSA | PPO | 14029077 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Silver | 16121 | Aetna MD Silver HNOnly 3000 HSA Emb | HMO | 14029055 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Silver | 16122 | Aetna MD Silver PPO 3000 HSA Emb | PPO | 14029078 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Bronze | 16123 | Aetna MD Bronze HNOnly 4600 70% HSA Emb | HMO | 14029056 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Bronze | 16124 | Aetna MD Bronze PPO 4600 70/50 HSA Emb | PPO | 14029079 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Bronze | 16125 | Aetna MD Bronze HNOnly 4800 HSA Emb | HMO | 14029057 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Bronze | 16126 | Aetna MD Bronze PPO 4800 100/80 HSA Emb | PPO | 14029080 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Bronze | 16127 | Aetna MD Bronze HNOnly 5000 80% HSA Emb | HMO | 14029058 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Bronze | 16128 | Aetna MD Bronze PPO 5000 80/60 HSA Emb | PPO | 14029081 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Bronze | 16129 | Aetna MD Bronze HNOnly 5400 100% HSA Emb | HMO | 14029059 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Bronze | 16130 | Aetna MD Bronze PPO 5400 100/80 HSA Emb | PPO | 14029082 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Gold | 16131 | Aetna MD Gold HNOnly SJ 1500 | HMO | 14029049 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Silver | 16132 | Aetna MD Silver HNOnly SJ 2500 | HMO | 14029050 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Silver | 16133 | Aetna MD Silver HNOnly SJ 3500 | HMO | 14029051 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Gold | 16134 | Aetna MD Gold HMO 1000 70% | HMO | 14029060 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Silver | 16135 | Aetna MD Silver HMO SJ 3500 | HMO | 14029061 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| MD | M | Bronze | 16136 | Aetna MD Bronze HMO 4800 HSA Emb | HMO | 14029062 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | AET | |
| VA | M | Bronze | 16137 | Aetna VA Bronze PPO 5000 70/50 | PPO | 14031298 | OFF-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| VA | M | Bronze | 16138 | Aetna VA Bronze HNOnly 5000 70% | HMO | 14031299 | OFF-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| VA | M | Bronze | 16139 | Aetna VA Bronze PPO 6000 100% HSA E | PPO | 14031300 | OFF-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| VA | M | Bronze | 16140 | Aetna VA Bronze HNOnly 6000 100% HSA E | HMO | 14031301 | OFF-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| VA | M | Bronze | 16141 | Aetna VA Bronze PPO 4600 70/50 HSA E | PPO | 14031302 | OFF-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| VA | M | Bronze | 16142 | Aetna VA Bronze HNOnly 4600 70 HSA E | HMO | 14031303 | OFF-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| VA | M | Bronze | 16143 | Aetna VA IH Bronze Open HMO 4600 70 HSA E | HMO | 14031304 | OFF-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| VA | M | Bronze | 16144 | Aetna VA IH Bronze PPO 4600 70/50 HSA E | PPO | 14031305 | OFF-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| VA | M | Bronze | 16145 | Aetna VA IH Bronze Open HMO 5000 70% | HMO | 14031306 | OFF-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| VA | M | Bronze | 16146 | Aetna VA IH Bronze Open HMO 6000 100% HSA E | HMO | 14031307 | OFF-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| VA | M | Bronze | 16147 | Aetna VA IH Bronze PPO 5000 70/50 | PPO | 14031308 | OFF-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| VA | M | Bronze | 16148 | Aetna VA IH Bronze PPO 6000 100% HSA E | PPO | 14031309 | OFF-SHOP |
Benefits
| 7/1/2016 | 12/31/2016 | AET | |
| VA | M | Gold | 16300 | BlueChoice Advantage Gold Plan - $500 | POS | 100012145 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16301 | BlueChoice Advantage Gold Plan - $500 | POS | 100012406 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16302 | BlueChoice Advantage Platinum Plan | POS | 100012149 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16303 | BlueChoice Advantage Platinum Plan | POS | 100012409 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16304 | BlueChoice Advantage 90%/70% Platinum Plan | POS | 100012407 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16305 | BlueChoice Advantage 90%/70% Platinum Plan | POS | 100012147 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16306 | BlueChoice Advantage 90%/70% Platinum Plan SE | POS | 100012146 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16307 | BlueChoice Advantage HDHP Silver Plan - $3,000 | POS | 100012386 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16308 | BlueChoice Advantage HDHP Bronze Plan - $5,000 | POS | 100012381 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16309 | BlueChoice Advantage HDHP Silver Plan - $1,500 | POS | 100012137 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16310 | BlueChoice Advantage HDHP Gold Plan - $1,000 | POS | 100012142 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16311 | BlueChoice Advantage HDHP Silver Plan - $3,000 | POS | 100012132 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16312 | BlueChoice Advantage HDHP Silver Plan - $1,500 | POS | 100012391 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16313 | BlueChoice Advantage HDHP Gold Plan - $1,000 | POS | 100012399 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16314 | BlueChoice Advantage HDHP Bronze Plan - $5,000 | POS | 100012127 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16315 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100012140 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16316 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100012394 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16317 | BlueChoice Advantage HRA Integrated BlueFund Bronze Plan - $5,000 | POS | 100012384 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16318 | BlueChoice Advantage HRA Integrated BlueFund Bronze Plan - $5,000 | POS | 100012130 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16319 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100012135 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16320 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100012389 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16321 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $1,500 | POS | 100012395 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16322 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $3,000 | POS | 100012390 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16323 | BlueChoice Advantage HRA Integrated Compatible Bronze Plan - $5,000 | POS | 100012131 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16324 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $3,000 | POS | 100012136 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16325 | BlueChoice Advantage HRA Integrated Compatible Bronze Plan - $5,000 | POS | 100012385 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16326 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $1,500 | POS | 100012141 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16327 | BlueChoice Advantage HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100012400 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16328 | BlueChoice Advantage HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100012143 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16329 | BlueChoice Advantage HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100012401 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16330 | BlueChoice Advantage HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100012144 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16331 | BlueChoice Advantage HSA BlueFund Silver Plan - $3,000 | POS | 100012133 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16332 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100012138 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16333 | BlueChoice Advantage HSA BlueFund Bronze Plan - $5,000 | POS | 100012382 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16334 | BlueChoice Advantage HSA BlueFund Bronze Plan - $5,000 | POS | 100012128 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16335 | BlueChoice Advantage HSA BlueFund Silver Plan - $3,000 | POS | 100012387 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16336 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100012392 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16337 | BlueChoice Advantage HSA Compatible Bronze Plan - $5,000 | POS | 100012129 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16338 | BlueChoice Advantage HSA Compatible Silver Plan - $3,000 | POS | 100012134 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16339 | BlueChoice Advantage HSA Compatible Bronze Plan - $5,000 | POS | 100012383 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16340 | BlueChoice Advantage HSA Compatible Silver Plan - $1,500 | POS | 100012139 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16341 | BlueChoice Advantage HSA Compatible Silver Plan - $3,000 | POS | 100012388 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16342 | BlueChoice Advantage HSA Compatible Silver Plan - $1,500 | POS | 100012393 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Platinum | 16343 | BlueChoice Advantage Platinum Plan | POS | 100012731 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Gold | 16344 | BlueChoice Advantage Gold Plan - $500 | POS | 100012730 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16345 | BlueChoice Advantage 90%/70% Platinum Plan | POS | 100012408 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Gold | 16346 | BlueChoice Advantage HDHP/HRA Gold Plan - $1,000 | POS | 100012729 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Bronze | 16347 | BlueChoice Advantage HDHP/HSA/HRA Bronze Plan - $5,000 | POS | 100012720 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Silver | 16348 | BlueChoice Advantage HDHP/HSA/HRA Silver Plan - $3,000 | POS | 100012723 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Silver | 16349 | BlueChoice Advantage HDHP/HSA/HRA Silver Plan - $1,500 | POS | 100012726 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16350 | BlueChoice HMO Gold Plan - $500 | HMO | 100012169 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16351 | BlueChoice HMO Gold Plan - $500 | HMO | 100012424 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16352 | BlueChoice HMO Platinum Plan | HMO | 100012425 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16353 | BlueChoice HMO Platinum Plan | HMO | 100012170 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16354 | BlueChoice HMO HDHP Gold Plan - $1,000 SE | HMO | 100012202 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16355 | BlueChoice HMO HDHP Silver Plan - $1,500 | HMO | 100012436 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16356 | BlueChoice HMO HDHP Silver Plan - $3,000 | HMO | 100012431 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16357 | BlueChoice HMO HDHP Silver Plan - $2,000 (ded/copay) | HMO | 100012187 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16358 | BlueChoice HMO HDHP Silver Plan - $2,000 SE | HMO | 100012191 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16359 | BlueChoice HMO HDHP Gold Plan - $1,000 | HMO | 100012201 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16360 | BlueChoice HMO HDHP Gold Plan - $1,000 | HMO | 100012451 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16361 | BlueChoice HMO HDHP Bronze Plan - $5,000 | HMO | 100012172 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16362 | BlueChoice HMO HDHP Silver Plan - $1,500 | HMO | 100012182 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16363 | BlueChoice HMO HDHP Silver Plan - $2,000(Z) | HMO | 100013425 | OFF-SHOP |
Benefits
| 9/1/2016 | 9/30/2016 | CAF | |
| MD | M | Gold | 16364 | BlueChoice HMO HDHP Gold Plan - $1,500 | HMO | 100012462 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16365 | BlueChoice HMO HDHP Silver Plan - $3,000 | HMO | 100012177 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16366 | BlueChoice HMO HDHP Silver Plan - $1,000 | HMO | 100012459 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16367 | BlueChoice HMO HDHP Gold Plan - $1,500 | HMO | 100012215 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16368 | BlueChoice HMO HDHP Silver Plan - $2,000(Z) | HMO | 100013447 | OFF-SHOP |
Benefits
| 9/1/2016 | 9/30/2016 | CAF | |
| MD | M | Bronze | 16369 | BlueChoice HMO HDHP Bronze Plan - $5,000 | HMO | 100012426 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16370 | BlueChoice HMO HDHP Silver Plan - $2,000 (ded/copay) | HMO | 100012441 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16371 | BlueChoice HMO HDHP Silver Plan - $1,000 | HMO | 100012212 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16372 | BlueChoice HMO HRA Integrated BlueFund Bronze Plan - $5,000 | HMO | 100012429 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16373 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $3,000 | HMO | 100012180 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16374 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $1,500 | HMO | 100012185 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16375 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 | HMO | 100013426 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16376 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 | HMO | 100013454 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16377 | BlueChoice HMO HRA Integrated BlueFund Bronze Plan - $5,000 | HMO | 100012175 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16378 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 (ded/copay) | HMO | 100012190 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16379 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $3,000 | HMO | 100012434 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16380 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 (Rx1) | HMO | 100012444 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16381 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000(ded/coin) | HMO | 100012198 | OFF-SHOP |
Benefits
| 9/1/2016 | 9/30/2016 | CAF | |
| VA | M | Gold | 16382 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 SE | HMO | 100012203 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16383 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $1,500 | HMO | 100012439 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16384 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 SE | HMO | 100012194 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16385 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 (Rx2) | HMO | 100012448 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16386 | BlueChoice HMO HRA Integrated Compatible Bronze Plan - $5,000 | HMO | 100012176 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16387 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000(ded/coin) | HMO | 100012449 | OFF-SHOP |
Benefits
| 9/1/2016 | 9/30/2016 | CAF | |
| VA | M | Silver | 16388 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000(ded/coin) | HMO | 100012199 | OFF-SHOP |
Benefits
| 9/1/2016 | 9/30/2016 | CAF | |
| MD | M | Bronze | 16389 | BlueChoice HMO HRA Integrated Compatible Bronze Plan - $5,000 | HMO | 100012430 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16390 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 | HMO | 100013455 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16391 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $1,500 | HMO | 100012440 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16392 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 (ded/copay) | HMO | 100012171 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16393 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 (ded/copay) | HMO | 100012445 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16394 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $1,500 | HMO | 100012186 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16395 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 SE | HMO | 100012195 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16396 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 SE | HMO | 100012204 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16397 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $3,000 | HMO | 100012435 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16398 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $3,000 | HMO | 100012181 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16399 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 | HMO | 100013427 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16400 | BlueChoice HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100012216 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16401 | BlueChoice HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100012463 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16402 | BlueChoice HMO HRA Non-Integrated BlueFund Silver Plan - $1,000 | HMO | 100012460 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16403 | BlueChoice HMO HRA Non-Integrated BlueFund Silver Plan - $1,000 | HMO | 100012213 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16404 | BlueChoice HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100012464 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16405 | BlueChoice HMO HRA Non-Integrated Compatible Silver Plan - $1,000 | HMO | 100012214 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16406 | BlueChoice HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100012217 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16407 | BlueChoice HMO HRA Non-Integrated Compatible Silver Plan - $1,000 | HMO | 100012461 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16408 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000(ded/coin) | HMO | 100012446 | OFF-SHOP |
Benefits
| 9/1/2016 | 9/30/2016 | CAF | |
| VA | M | Silver | 16409 | BlueChoice HMO HSA BlueFund Silver Plan - $1,500 | HMO | 100012183 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16410 | BlueChoice HMO HSA BlueFund Bronze Plan - $5,000 | HMO | 100012173 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16411 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 (ded/copay) | HMO | 100012188 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16412 | BlueChoice HMO HSA BlueFund Silver Plan - $3,000 | HMO | 100012178 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16413 | BlueChoice HMO HSA BlueFund Silver Plan - $3,000 | HMO | 100012432 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16414 | BlueChoice HMO HSA BlueFund Bronze Plan - $5,000 | HMO | 100012427 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16415 | BlueChoice HMO HSA BlueFund Silver Plan - $1,500 | HMO | 100012437 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16416 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 SE | HMO | 100012192 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16417 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000(ded/coin) | HMO | 100012196 | OFF-SHOP |
Benefits
| 9/1/2016 | 9/30/2016 | CAF | |
| MD | M | Silver | 16418 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 (ded/copay) | HMO | 100012442 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16419 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 (ded/copay) | HMO | 100012189 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16420 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 SE | HMO | 100012193 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16421 | BlueChoice HMO HSA Compatible Silver Plan - $2,000(ded/coin) | HMO | 100012447 | OFF-SHOP |
Benefits
| 9/1/2016 | 9/30/2016 | CAF | |
| VA | M | Silver | 16422 | BlueChoice HMO HSA Compatible Silver Plan - $2,000(ded/coin) | HMO | 100012197 | OFF-SHOP |
Benefits
| 9/1/2016 | 9/30/2016 | CAF | |
| MD | M | Bronze | 16423 | BlueChoice HMO HSA Compatible Bronze Plan - $5,000 | HMO | 100012428 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16424 | BlueChoice HMO HSA Compatible Silver Plan - $3,000 | HMO | 100012433 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16425 | BlueChoice HMO HSA Compatible Bronze Plan - $5,000 | HMO | 100012174 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16426 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 (ded/copay) | HMO | 100012443 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16427 | BlueChoice HMO HSA Compatible Silver Plan - $3,000 | HMO | 100012179 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16428 | BlueChoice HMO HSA Compatible Silver Plan - $1,500 | HMO | 100012438 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16429 | BlueChoice HMO HSA Compatible Silver Plan - $1,500 | HMO | 100012184 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16430 | BlueChoice HMO Referral Platinum Plan | HMO | 100012455 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16431 | BlueChoice HMO Referral Platinum Plan | HMO | 100012208 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16432 | BlueChoice HMO Referral Gold Plan | HMO | 100012453 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16433 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 100012207 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16434 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 100012454 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16435 | BlueChoice HMO Referral Gold Plan | HMO | 100012206 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16436 | BlueChoice HMO Referral HDHP Bronze Plan - $4,500 SE | HMO | 100012150 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16437 | BlueChoice HMO Referral HDHP Silver Plan - 70 ($2,000) | HMO | 100012163 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16438 | BlueChoice HMO Referral HDHP Platinum Plan - $1,000 | HMO | 100012209 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16439 | BlueChoice HMO Referral HDHP Bronze Plan - $5,500 | HMO | 100012160 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16440 | BlueChoice HMO Referral HDHP Bronze Plan - $4,500 | HMO | 100013424 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16441 | BlueChoice HMO Referral HDHP Silver Plan - 70 ($2,000) | HMO | 100012418 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16442 | BlueChoice HMO Referral HDHP Platinum Plan - $1,000 | HMO | 100012456 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16443 | BlueChoice HMO Referral HDHP Bronze Plan - $5,500 | HMO | 100012415 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16444 | BlueChoice HMO Referral HDHP Gold Plan - 80 ($1,000) | HMO | 100012421 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16445 | BlueChoice HMO Referral HDHP Gold Plan - 80 ($1,000) | HMO | 100012166 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16446 | BlueChoice HMO Referral HDHP Bronze Plan - $4,500 | HMO | 100013446 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16447 | BlueChoice HMO Referral HRA Integrated BlueFund Bronze Plan - $4,500 | HMO | 100012157 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16448 | BlueChoice HMO Referral HRA Integrated BlueFund Bronze Plan - $4,500 SE | HMO | 100012153 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16449 | BlueChoice HMO Referral HRA Integrated BlueFund Bronze Plan - $4,500 | HMO | 100012412 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16450 | BlueChoice HMO Referral HRA Integrated Compatible Bronze Plan - $4,500 SE | HMO | 100012154 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16451 | BlueChoice HMO Referral HRA Integrated Compatible Bronze Plan - $4,500 | HMO | 100012413 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16452 | BlueChoice HMO Referral HRA Integrated Compatible Bronze Plan - $4,500 | HMO | 100012158 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16453 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Bronze Plan - $5,500 | HMO | 100012416 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16454 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Gold Plan - 80 ($1,000) | HMO | 100012167 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16455 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Platinum Plan - $1,000 | HMO | 100012210 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16456 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Silver Plan - 70 ($2,000) | HMO | 100012419 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16457 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Gold Plan - 80 ($1,000) | HMO | 100012422 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16458 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Platinum Plan - $1,000 | HMO | 100012457 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16459 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Bronze Plan - $5,500 | HMO | 100012161 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16460 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Silver - 70 ($2,000) | HMO | 100012164 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16461 | BlueChoice HMO Referral HRA Non-Integrated Compatible Gold Plan - 80 ($1,000) | HMO | 100012168 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16462 | BlueChoice HMO Referral HRA Non-Integrated Compatible Bronze Plan - $5,500 | HMO | 100012417 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16463 | BlueChoice HMO Referral HRA Non-Integrated Compatible Platinum Plan - $1,000 | HMO | 100012458 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16464 | BlueChoice HMO Referral HRA Non-Integrated Compatible Platinum Plan - $1,000 | HMO | 100012211 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16465 | BlueChoice HMO Referral Gold Plan - 80 ($1,000) | HMO | 100012423 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16466 | BlueChoice HMO Referral HRA Non-Integrated Compatible Silver - $2,000 | HMO | 100012165 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16467 | BlueChoice HMO Referral HRA Non-Integrated Compatible Silver Plan - 70 ($2,000) | HMO | 100012420 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16468 | BlueChoice HMO Referral HRA Non-Integrated Compatible Bronze Plan - $5,500 | HMO | 100012162 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16469 | BlueChoice HMO Referral HSA BlueFund Bronze Plan - $4,500 SE | HMO | 100012151 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16470 | BlueChoice HMO Referral HSA BlueFund Bronze Plan - $4,500 | HMO | 100012155 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16471 | BlueChoice HMO Referral HSA BlueFund Bronze Plan - $4,500 | HMO | 100012410 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16472 | BlueChoice HMO Referral HSA Compatible Bronze Plan - $4,500 | HMO | 100012411 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16473 | BlueChoice HMO Referral HSA Compatible Bronze Plan - $4,500 | HMO | 100012156 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16474 | BlueChoice HMO Referral HSA Compatible Bronze Plan - $4,500 SE | HMO | 100012152 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Gold | 16475 | BlueChoice HDHP/HRA Gold Plan - $1,500 | HMO | 100012754 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Silver | 16476 | BlueChoice HDHP/HRA Silver Plan - $1,000 | HMO | 100012753 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Gold | 16477 | BlueChoice HMO Gold Plan - $500 | HMO | 100012735 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Platinum | 16478 | BlueChoice HMO Platinum Plan | HMO | 100012736 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16479 | BlueChoice HMO HDHP Gold Plan - $1,000 | HMO | 100012452 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Silver | 16480 | BlueChoice HMO HDHP/HSA/HRA Silver Plan - $3,000 | HMO | 100012740 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Bronze | 16481 | BlueChoice HMO HDHP/HSA/HRA Bronze Plan - $5,000 | HMO | 100012737 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Silver | 16482 | BlueChoice HMO HDHP/HSA/HRA Silver Plan - $1,500 | HMO | 100012743 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Silver | 16483 | BlueChoice HMO HDHP/HSA/HRA Silver Plan - $2,000 | HMO | 100012746 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16484 | BlueChoice HMO HSA/HRA Silver Plan - $2,000 | HMO | 100012450 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Platinum | 16485 | BlueChoice HMO Referral Platinum Plan | HMO | 100012751 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Gold | 16486 | BlueChoice HMO Referral Gold Plan | HMO | 100012749 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Gold | 16487 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 100012750 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16488 | BlueChoice HMO Referral HSA/HRA Bronze Plan - $4,500 | HMO | 100012414 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Bronze | 16489 | BlueChoice Referral HDHP/HRA Bronze Plan - $5,500 | HMO | 100012732 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Gold | 16490 | BlueChoice HMO Referral HDHP/HRA Gold Plan - 80 ($1,000) | HMO | 100012734 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Silver | 16491 | BlueChoice Referral HDHP/HRA Silver Plan - 70 ($2,000) | HMO | 100012733 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Platinum | 16492 | BlueChoice Referral HDHP/HRA Platinum Plan - $1,000 | HMO | 100012752 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16493 | BlueChoice Plus Opt-Out Platinum Plan | POS | 100013458 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16494 | BlueChoice Plus Opt-Out Platinum Plan | POS | 100013457 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Platinum | 16495 | BlueChoice Plus Opt-Out Platinum Plan | POS | 100013456 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16496 | BlueChoice Plus Gold Plan - $500 | POS | 100012581 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16497 | BlueChoice Plus Gold Plan - $500 | POS | 100012281 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16498 | BlueChoice Plus HDHP Silver Plan - $3,000 | POS | 100012563 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16499 | BlueChoice Plus HDHP Silver Plan - $1,500 | POS | 100012568 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16500 | BlueChoice Plus HDHP Gold Plan - $1,000 | POS | 100012278 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16501 | BlueChoice Plus HDHP Bronze Plan - $5,000 | POS | 100012263 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16502 | BlueChoice Plus HDHP Bronze Plan - $5,000 | POS | 100012558 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16503 | BlueChoice Plus HDHP Gold Plan - $1,000 | POS | 100012576 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16504 | BlueChoice Plus HDHP Silver Plan - $3,000 | POS | 100012268 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16505 | BlueChoice Plus HDHP Silver Plan - $1,500 | POS | 100012273 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16506 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100012566 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16507 | BlueChoice Plus HRA Integrated BlueFund Bronze Plan - $5,000 | POS | 100012561 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16508 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100012276 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16509 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100012271 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16510 | BlueChoice Plus HRA Integrated BlueFund Bronze Plan - $5,000 | POS | 100012266 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16511 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100012571 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16512 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $1,500 | POS | 100012277 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16513 | BlueChoice Plus HRA Integrated Compatible Bronze Plan - $5,000 | POS | 100012267 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16514 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $1,500 | POS | 100012572 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16515 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $3,000 | POS | 100012272 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16516 | BlueChoice Plus HRA Integrated Compatible Bronze Plan - $5,000 | POS | 100012562 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16517 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $3,000 | POS | 100012567 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16518 | BlueChoice Plus HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100012577 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16519 | BlueChoice Plus HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100012279 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16520 | BlueChoice Plus HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100012280 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16521 | BlueChoice Plus HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100012578 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16522 | BlueChoice Plus HSA BlueFund Silver Plan - $1,500 | POS | 100012569 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16523 | BlueChoice Plus HSA BlueFund Bronze Plan - $5,000 | POS | 100012559 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16524 | BlueChoice Plus HSA BlueFund Silver Plan - $1,500 | POS | 100012274 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16525 | BlueChoice Plus HSA BlueFund Silver Plan - $3,000 | POS | 100012269 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16526 | BlueChoice Plus HSA BlueFund Silver Plan - $3,000 | POS | 100012564 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16527 | BlueChoice Plus HSA BlueFund Bronze Plan - $5,000 | POS | 100012264 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16528 | BlueChoice Plus HSA Compatible Bronze Plan - $5,000 | POS | 100012265 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16529 | BlueChoice Plus HSA Compatible Bronze Plan - $5,000 | POS | 100012560 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16530 | BlueChoice Plus HSA Compatible Silver Plan - $1,500 | POS | 100012570 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16531 | BlueChoice Plus HSA Compatible Silver Plan - $3,000 | POS | 100012565 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16532 | BlueChoice Plus HSA Compatible Silver Plan - $1,500 | POS | 100012275 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16533 | BlueChoice Plus HSA Compatible Silver Plan - $3,000 | POS | 100012270 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Gold | 16534 | BlueChoice Plus Gold Plan - $500 | POS | 100012781 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Gold | 16535 | BlueChoice Plus HDHP/HRA Gold Plan - $1,000 | POS | 100012780 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Silver | 16536 | BlueChoice Plus HDHP/HSA/HRA Silver Plan - $1,500 | POS | 100012777 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Silver | 16537 | BlueChoice Plus HDHP/HSA/HRA Silver Plan - $3,000 | POS | 100012774 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Bronze | 16538 | BlueChoice Plus HDHP/HSA/HRA Bronze Plan - $5,000 | POS | 100012771 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16539 | BluePreferred PPO Platinum Plan | PPO | 100012261 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16540 | BluePreferred PPO Gold Plan - $500 | PPO | 100012257 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16541 | BluePreferred PPO Platinum Plan- $500 | PPO | 100012262 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16542 | BluePreferred PPO Gold Plan - $500 | PPO | 100012538 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16543 | BluePreferred PPO Platinum Plan- $500 | PPO | 100012542 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16544 | BluePreferred PPO Platinum Plan | PPO | 100012541 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16545 | BluePreferred PPO 100%/80% Platinum Plan | PPO | 100012259 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16546 | BluePreferred PPO 100%/80% Platinum Plan - SE | PPO | 100012258 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16547 | BluePreferred PPO 100%/80% Platinum Plan | PPO | 100012539 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16548 | BluePreferred PPO HDHP Gold Plan - $1,000 SE | PPO | 100012511 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16549 | BluePreferred PPO HDHP Silver Plan - $1,000 | PPO | 100012524 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16550 | BluePreferred PPO HDHP Gold Plan - $1,500 | PPO | 100012530 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16551 | BluePreferred PPO HDHP Bronze Plan - $4,500 | PPO | 100013429 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16552 | BluePreferred PPO HDHP Bronze Plan - $4,500 | PPO | 100013448 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16553 | BluePreferred PPO HDHP Silver Plan - $1,000 | PPO | 100012248 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16554 | BluePreferred PPO HDHP Gold Plan - $1,000 SE | PPO | 100012244 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16555 | BluePreferred PPO HDHP Silver Plan - $1,500 | PPO | 100012495 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16556 | BluePreferred PPO HDHP Silver Plan - $2,000 | PPO | 100012500 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16557 | BluePreferred PPO HDHP Silver Plan - $2,000 SE | PPO | 100012238 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16558 | BluePreferred PPO HDHP Gold Plan - $1,000 | PPO | 100012251 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16559 | BluePreferred PPO HDHP Gold Plan - $1,000 | PPO | 100012527 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16560 | BluePreferred PPO HDHP Bronze Plan - $4,500 SE | PPO | 100012218 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16561 | BluePreferred PPO HDHP Silver Plan - $2,000 SE | PPO | 100012505 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16562 | BluePreferred PPO HDHP Silver Plan - $1,500 | PPO | 100012228 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16563 | BluePreferred PPO HDHP Silver Plan - $2,000 | PPO | 100012233 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16564 | BluePreferred PPO HDHP Gold Plan - $1,500 | PPO | 100012254 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16565 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $2,000 SE | PPO | 100012508 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16566 | BluePreferred PPO HRA Integrated BlueFund Gold Plan - $1,000 SE | PPO | 100012513 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16567 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100012236 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16568 | BluePreferred PPO HRA Integrated BlueFund Gold Plan - $1,000 SE | PPO | 100012246 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16569 | BluePreferred PPO HRA Integrated BlueFund Bronze Plan - $4,500 | PPO | 100012225 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16570 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100012503 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16571 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $1,500 | PPO | 100012231 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16572 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $2,000 SE | PPO | 100012241 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16573 | BluePreferred PPO HRA Integrated BlueFund Bronze Plan - $4,500 | PPO | 100012492 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16574 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $1,500 | PPO | 100012498 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16575 | BluePreferred PPO HRA Integrated BlueFund Bronze Plan - $4,500 SE | PPO | 100012221 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16576 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100012504 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16577 | BluePreferred PPO HRA Integrated Compatible Bronze Plan - $4,500 | PPO | 100012226 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16578 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $2,000 SE | PPO | 100012242 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16579 | BluePreferred PPO HRA Integrated Compatible Bronze Plan - $4,500 | PPO | 100012493 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16580 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $2,000 SE | PPO | 100012509 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16581 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $1,500 | PPO | 100012499 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16582 | BluePreferred PPO HRA Integrated Compatible Gold Plan - $1,000 SE | PPO | 100012512 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16583 | BluePreferred PPO HRA Integrated Compatible Bronze Plan - $4,500 SE | PPO | 100012222 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16584 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100012237 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16585 | BluePreferred PPO HRA Integrated Compatible Gold Plan - $1,000 SE | PPO | 100012245 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16586 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $1,500 | PPO | 100012232 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16587 | BluePreferred PPO HRA Non-Integrated BlueFund Silver Plan - $1,000 | PPO | 100012526 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16588 | BluePreferred PPO HRA Non-Integrated BlueFund Silver Plan - $1,000 | PPO | 100012250 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16589 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100012532 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16590 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,000 | PPO | 100012529 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16591 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,000 | PPO | 100012253 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16592 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100012256 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16593 | BluePreferred PPO HRA Non-Integrated Compatible Silver Plan - $1,000 | PPO | 100012525 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16594 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,000 | PPO | 100012528 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16595 | BluePreferred PPO HRA Non-Integrated Compatible Silver Plan - $1,000 | PPO | 100012249 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16596 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100012531 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16597 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100012255 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16598 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,000 | PPO | 100012252 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16599 | BluePreferred PPO HSA BlueFund Silver Plan - $1,500 | PPO | 100012496 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16600 | BluePreferred PPO HSA BlueFund Silver Plan - $1,500 | PPO | 100012229 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16601 | BluePreferred PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100012234 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16602 | BluePreferred PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100012501 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16603 | BluePreferred PPO HSA BlueFund Silver Plan - $2,000 SE | PPO | 100012239 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16604 | BluePreferred PPO HSA BlueFund Silver Plan - $2,000 SE | PPO | 100012506 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16605 | BluePreferred PPO HSA BlueFund Bronze Plan - $4,500 SE | PPO | 100012219 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16606 | BluePreferred PPO HSA BlueFund Bronze Plan - $4,500 | PPO | 100012223 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16607 | BluePreferred PPO HSA BlueFund Bronze Plan - $4,500 | PPO | 100012490 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16608 | BluePreferred PPO HSA Compatible Bronze Plan - $4,500 | PPO | 100012491 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16609 | BluePreferred PPO HSA Compatible Silver Plan - $2,000 SE | PPO | 100012240 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16610 | BluePreferred PPO HSA Compatible Silver Plan - $1,500 | PPO | 100012497 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16611 | BluePreferred PPO HSA Compatible Silver Plan - $2,000 | PPO | 100012502 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16612 | BluePreferred PPO HSA Compatible Bronze Plan - $4,500 SE | PPO | 100012220 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Bronze | 16613 | BluePreferred PPO HSA Compatible Bronze Plan - $4,500 | PPO | 100012224 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16614 | BluePreferred PPO HSA Compatible Silver Plan - $2,000 | PPO | 100012235 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16615 | BluePreferred PPO HSA Compatible Silver Plan - $2,000 SE | PPO | 100012507 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16616 | BluePreferred PPO HSA Compatible Silver Plan - $1,500 | PPO | 100012230 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Gold | 16617 | BCBS Preferred PPO HDHP Gold Plan - $1,000 MSP | PPO | 100012764 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Silver | 16618 | BCBS Preferred PPO HSA/HRA Silver Plan - $2,000 MSP | PPO | 100012761 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16619 | BlueCross BlueShield Preferred a Multi-State HDHP Plan Gold Plan - $1,000 MSP | PPO | 100012514 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16620 | BlueCross BlueShield Preferred a Multi-State HSA/HRA Plan Silver Plan - $2,000 MSP | PPO | 100012510 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Platinum | 16621 | BluePreferred PPO Platinum Plan | PPO | 100012769 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Gold | 16622 | BluePreferred PPO Gold Plan - $500 | PPO | 100012768 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Platinum | 16623 | BluePreferred PPO Platinum Plan- $500 | PPO | 100012770 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16624 | BluePreferred PPO 100%/80% Platinum Plan | PPO | 100012540 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Gold | 16625 | BluePreferred PPO HDHP/HRA Gold Plan - $1,000 | PPO | 100012766 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Silver | 16626 | BluePreferred PPO HDHP/HRA Silver Plan - $1,000 | PPO | 100012765 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Gold | 16627 | BluePreferred PPO HDHP/HRA Gold Plan - $1,500 | PPO | 100012767 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Silver | 16628 | BluePreferred PPO HDHP/HSA/HRA Silver Plan - $1,500 | PPO | 100012755 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Silver | 16629 | BluePreferred PPO HDHP/HSA/HRA Silver Plan - $2,000 | PPO | 100012758 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Bronze | 16630 | BluePreferred PPO HSA/HRA Bronze Plan - $4,500 | PPO | 100012494 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16631 | HealthyBlue Plus Platinum Plan- $500 | POS | 100012294 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16632 | HealthyBlue Plus Platinum Plan- $500 | POS | 100012605 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16633 | HealthyBlue Plus HDHP Platinum Plan- $1,000 | POS | 100012291 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16634 | HealthyBlue Plus HDHP Silver Plan - $2,000 | POS | 100012283 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16635 | HealthyBlue Plus HDHP Gold Plan - $1,500 | POS | 100012598 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16636 | HealthyBlue Plus HDHP Gold Plan - $1,500 | POS | 100012288 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16637 | HealthyBlue Plus HDHP Silver Plan - $2,000 | POS | 100012587 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16638 | HealthyBlue Plus HDHP Platinum Plan- $1,000 | POS | 100012601 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16639 | HealthyBlue Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100012590 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16640 | HealthyBlue Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100012286 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16641 | HealthyBlue Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100012287 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16642 | HealthyBlue Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100012591 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16643 | HealthyBlue Plus HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100012599 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16644 | HealthyBlue Plus HRA Non-Integrated BlueFund Platinum Plan- $1,000 | POS | 100012602 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16645 | HealthyBlue Plus HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100012289 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16646 | HealthyBlue Plus HRA Non-Integrated BlueFund Platinum Plan- $1,000 | POS | 100012292 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16647 | HealthyBlue Plus HRA Non-Integrated Compatible Platinum Plan- $1,000 | POS | 100012293 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16648 | HealthyBlue Plus HRA Non-Integrated Compatible Platinum Plan- $1,000 | POS | 100012603 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16649 | HealthyBlue Plus HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100012600 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16650 | HealthyBlue Plus HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100012290 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16651 | HealthyBlue Plus HSA BlueFund Silver Plan - $2,000 | POS | 100012588 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16652 | HealthyBlue Plus HSA BlueFund Silver Plan - $2,000 | POS | 100012284 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16653 | HealthyBlue Plus HSA Compatible Silver Plan - $2,000 | POS | 100012285 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16654 | HealthyBlue Plus HSA Compatible Silver Plan - $2,000 | POS | 100012589 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Platinum | 16655 | HealthyBlue Plus Platinum Plan- $500 | POS | 100012788 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Platinum | 16656 | HealthyBlue Plus HDHP/HRA Platinum Plan- $1,000 | POS | 100012787 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Gold | 16657 | HealthyBlue Plus HDHP/HRA Gold Plan - $1,500 | POS | 100012786 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Silver | 16658 | HealthyBlue Plus HDHP/HSA/HRA Silver Plan - $2,000 | POS | 100012783 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16659 | HealthyBlue Advantage Platinum Plan- $500 | POS | 100012306 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16660 | HealthyBlue Advantage Platinum Plan- $500 | POS | 100012629 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16661 | HealthyBlue Advantage HDHP Platinum Plan- $1,000 | POS | 100012303 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16662 | HealthyBlue Advantage HDHP Platinum Plan- $1,000 | POS | 100012625 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16663 | HealthyBlue Advantage HDHP Silver Plan - $2,000 | POS | 100012295 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16664 | HealthyBlue Advantage HDHP Gold Plan - $1,500 | POS | 100012300 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16665 | HealthyBlue Advantage HDHP Gold Plan - $1,500 | POS | 100012622 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16666 | HealthyBlue Advantage HDHP Silver Plan - $2,000 | POS | 100012611 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16667 | HealthyBlue Advantage HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100012298 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16668 | HealthyBlue Advantage HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100012614 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16669 | HealthyBlue Advantage HRA Integrated Compatible Silver Plan - $2,000 | POS | 100012299 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16670 | HealthyBlue Advantage HRA Integrated Compatible Silver Plan - $2,000 | POS | 100012615 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16671 | HealthyBlue Advantage HRA Non-Integrated BlueFund Platinum Plan- $1,000 | POS | 100012626 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16672 | HealthyBlue Advantage HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100012301 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16673 | HealthyBlue Advantage HRA Non-Integrated BlueFund Platinum Plan- $1,000 | POS | 100012304 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16674 | HealthyBlue Advantage HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100012623 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16675 | HealthyBlue Advantage HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100012624 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16676 | HealthyBlue Advantage HRA Non-Integrated Compatible Platinum Plan- $1,000 | POS | 100012627 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16677 | HealthyBlue Advantage HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100012302 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16678 | HealthyBlue Advantage HRA Non-Integrated Compatible Platinum Plan- $1,000 | POS | 100012305 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16679 | HealthyBlue Advantage HSA BlueFund Silver Plan - $2,000 | POS | 100012296 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16680 | HealthyBlue Advantage HSA BlueFund Silver Plan - $2,000 | POS | 100012612 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16681 | HealthyBlue Advantage HSA Compatible Silver Plan - $2,000 | POS | 100012297 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16682 | HealthyBlue Advantage HSA Compatible Silver Plan - $2,000 | POS | 100012613 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Platinum | 16683 | HealthyBlue Advantage Platinum Plan- $500 | POS | 100012794 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Platinum | 16684 | HealthyBlue Advantage HDHP/HRA Platinum Plan- $1,000 | POS | 100012793 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Gold | 16685 | HealthyBlue Advantage HDHP/HRA Gold Plan - $1,500 | POS | 100012792 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Silver | 16686 | HealthyBlue Advantage HDHP/HSA/HRA Silver Plan - $2,000 | POS | 100012789 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16687 | HealthyBlue HMO Platinum Plan- $500 | HMO | 100012318 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16688 | HealthyBlue HMO Platinum Plan- $500 | HMO | 100012641 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16689 | HealthyBlue HMO HDHP Platinum Plan- $1,000 | HMO | 100012638 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16690 | HealthyBlue HMO HDHP Platinum Plan- $1,000 | HMO | 100012315 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16691 | HealthyBlue HMO HDHP Gold Plan - $1,500 | HMO | 100012635 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16692 | HealthyBlue HMO HDHP Silver Plan - $2,000 | HMO | 100012307 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16693 | HealthyBlue HMO HDHP Gold Plan - $1,500 | HMO | 100012312 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16694 | HealthyBlue HMO HDHP Silver Plan - $2,000 | HMO | 100012630 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16695 | HealthyBlue HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100012633 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16696 | HealthyBlue HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100012310 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16697 | HealthyBlue HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100012634 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16698 | HealthyBlue HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100012311 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16699 | HealthyBlue HMO HRA Non-Integrated BlueFund Platinum Plan- $1,000 | HMO | 100012316 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16700 | HealthyBlue HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100012636 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16701 | HealthyBlue HMO HRA Non-Integrated BlueFund Platinum Plan- $1,000 | HMO | 100012639 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16702 | HealthyBlue HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100012313 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16703 | HealthyBlue HMO HRA Non-Integrated Compatible Platinum Plan- $1,000 | HMO | 100012640 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16704 | HealthyBlue HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100012314 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16705 | HealthyBlue HMO HRA Non-Integrated Compatible Platinum Plan- $1,000 | HMO | 100012317 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16706 | HealthyBlue HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100012637 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16707 | HealthyBlue HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100012308 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16708 | HealthyBlue HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100012631 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16709 | HealthyBlue HMO HSA Compatible Silver Plan - $2,000 | HMO | 100012309 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16710 | HealthyBlue HMO HSA Compatible Silver Plan - $2,000 | HMO | 100012632 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Platinum | 16711 | HealthyBlue HMO Platinum Plan- $500 | HMO | 100012800 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Gold | 16712 | HealthyBlue HMO HDHP/HRA Gold Plan - $1,500 | HMO | 100012798 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Platinum | 16713 | HealthyBlue HMO HDHP/HRA Platinum Plan- $1,000 | HMO | 100012799 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Silver | 16714 | HealthyBlue HMO HDHP/HSA/HRA Silver Plan - $2,000 | HMO | 100012795 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16715 | HealthyBlue PPO Platinum Plan- $500 | PPO | 100012665 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16716 | HealthyBlue PPO Platinum Plan- $500 | PPO | 100012330 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16717 | HealthyBlue PPO HDHP Silver Plan - $2,000 | PPO | 100012647 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16718 | HealthyBlue PPO HDHP Silver Plan - $2,000 | PPO | 100012319 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16719 | HealthyBlue PPO HDHP Gold Plan - $1,500 | PPO | 100012326 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16720 | HealthyBlue PPO HDHP Gold Plan - $1,500 | PPO | 100012660 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16721 | HealthyBlue PPO HDHP Platinum Plan- $1,000 | PPO | 100012329 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16722 | HealthyBlue PPO HDHP Platinum Plan- $1,000 | PPO | 100012663 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16723 | HealthyBlue PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100012322 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16724 | HealthyBlue PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100012650 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16725 | HealthyBlue PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100012651 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16726 | HealthyBlue PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100012323 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16727 | HealthyBlue PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100012659 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16728 | HealthyBlue PPO HRA Non-Integrated BlueFund Platinum Plan- $1,000 | PPO | 100012662 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16729 | HealthyBlue PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100012325 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16730 | HealthyBlue PPO HRA Non-Integrated BlueFund Platinum Plan- $1,000 | PPO | 100012328 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Platinum | 16731 | HealthyBlue PPO HRA Non-Integrated Compatible Platinum Plan- $1,000 | PPO | 100012661 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 16732 | HealthyBlue PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100012324 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Gold | 16733 | HealthyBlue PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100012658 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Platinum | 16734 | HealthyBlue PPO HRA Non-Integrated Compatible Platinum Plan- $1,000 | PPO | 100012327 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16735 | HealthyBlue PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100012320 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16736 | HealthyBlue PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100012648 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| MD | M | Silver | 16737 | HealthyBlue PPO HSA Compatible Silver Plan - $2,000 | PPO | 100012649 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Silver | 16738 | HealthyBlue PPO HSA Compatible Silver Plan - $2,000 | PPO | 100012321 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Platinum | 16739 | HealthyBlue PPO Platinum Plan- $500 | PPO | 100012806 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Platinum | 16740 | HealthyBlue PPO HDHP/HRA Platinum Plan- $1,000 | PPO | 100012805 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Gold | 16741 | HealthyBlue PPO HDHP/HRA Gold Plan - $1,500 | PPO | 100012804 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| DC | M | Silver | 16742 | HealthyBlue PPO HDHP/HSA/HRA Silver Plan - $2,000 | PPO | 100012801 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | CAF | |
| VA | M | Gold | 17000 | Anthem HealthKeepers Gold Pathway X POS 1000/20%/2900 Plus (CY) | POS | 1P7L | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17001 | Anthem HealthKeepers Gold Pathway X POS 500/20%/5000 Plus (CY) | POS | 2064 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17002 | Anthem HealthKeepers Gold X OAPOS 3000/0%/4000 (EPHC) (CY) | POS | 1P7K | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17003 | Anthem HealthKeepers Silver Pathway X POS 2000/30%/5500 Plus (CY) | POS | 2060 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17004 | Anthem HealthKeepers Silver X OAPOS 4500E/0%/6000 (CY) | POS | 1P7J | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17005 | Anthem HealthKeepers Silver X POS 2500/0%/5000 (CY) | POS | 1P7D | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Bronze | 17006 | Anthem HealthKeepers Bronze Pathway X POS 5000E/20%/6550 Plus w/HSA (CY) | POS | 1P66 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Bronze | 17007 | Anthem HealthKeepers Bronze Pathway X POS 6000E/0%/6000 Plus w/HSA (CY) | POS | 2062 | ON-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Platinum | 17008 | Anthem Platinum PPO 10/10%/2500 (PY) | PPO | 1N5D | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Platinum | 17009 | Anthem Platinum PPO 10/10%/2500 (CY) | PPO | 1NBP | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Platinum | 17010 | Anthem Platinum PPO 10/20%/3000 (PY) | PPO | 1N72 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Platinum | 17011 | Anthem Platinum PPO 10/20%/3000 (CY) | PPO | 1NBM | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Platinum | 17012 | Anthem Platinum PPO 15/10%/4000 (EPHC) (CY) | PPO | 1P55 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Platinum | 17013 | Anthem Platinum PPO 15/10%/4000 (EPHC) (PY) | PPO | 1P57 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Platinum | 17014 | Anthem HealthKeepers Platinum OAPOS 10/10%/2500 (PY) | POS | 1N5H | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Platinum | 17015 | Anthem HealthKeepers Platinum OAPOS 10/10%/2500 (CY) | POS | 1NBR | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Platinum | 17016 | Anthem HealthKeepers Platinum OAPOS 10/20%/3000 (PY) | POS | 1N75 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Platinum | 17017 | Anthem HealthKeepers Platinum OAPOS 10/20%/3000 (CY) | POS | 1NBH | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Platinum | 17018 | Anthem HealthKeepers Platinum OAPOS 15/10%/4000 (EPHC) (CY) | POS | 1P43 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Platinum | 17019 | Anthem HealthKeepers Platinum OAPOS 15/10%/4000 (EPHC) (PY) | POS | 1P45 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17020 | Anthem Gold PPO 1000/20%/3000 (EPHC) (PY) | PPO | 1NA9 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17021 | Anthem Gold PPO 1000/20%/3000 (EPHC) (CY) | PPO | 1ND6 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17022 | Anthem Gold PPO 1000/20%/3500 (PY) | PPO | 1N6G | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17023 | Anthem Gold PPO 1000/20%/3500 (CY) | PPO | 1N85 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17024 | Anthem Gold PPO 1000/30%/2500 (PY) | PPO | 1NAW | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17025 | Anthem Gold PPO 1000/30%/2500 (CY) | PPO | 1NCX | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17026 | Anthem Gold PPO 1500/20%/3500 (EPHC) (PY) | PPO | 1NB1 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17027 | Anthem Gold PPO 1500/20%/3500 (EPHC) (CY) | PPO | 1NDR | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17028 | Anthem Gold PPO 1500/30%/4250 (EPHC) (PY) | PPO | 1N6V | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17029 | Anthem Gold PPO 1500/30%/4250 (EPHC) (CY) | PPO | 1N88 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17030 | Anthem Gold PPO 1500E/20%/5000 w/HRA (CY) | PPO | 1N8A | OFF-SHOP |
Benefits
| 1/1/2016 | 6/30/2016 | ANT | |
| VA | M | Gold | 17031 | Anthem Gold PPO 1500E/20%/5000 w/HRA (PY) | PPO | 1NA8 | OFF-SHOP |
Benefits
| 1/1/2016 | 6/30/2016 | ANT | |
| VA | M | Gold | 17032 | Anthem Gold PPO 2000/0%/2000 w/HSA (PY) | PPO | 1NAU | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17033 | Anthem Gold PPO 2000/0%/2000 w/HSA (CY) | PPO | 1NCZ | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17034 | Anthem Gold PPO 2000/20%/3500 (EPHC) (PY) | PPO | 1N70 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17035 | Anthem Gold PPO 2000/20%/3500 (EPHC) (CY) | PPO | 1NDD | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17036 | Anthem Gold PPO 2000E/20%/5000 w/HRA (PY) | PPO | 1N9D | OFF-SHOP |
Benefits
| 1/1/2016 | 6/30/2016 | ANT | |
| VA | M | Gold | 17037 | Anthem Gold PPO 2000E/20%/5000 w/HRA (CY) | PPO | 1NE1 | OFF-SHOP |
Benefits
| 1/1/2016 | 6/30/2016 | ANT | |
| VA | M | Gold | 17038 | Anthem Gold PPO 25/30%/5000 (CY) | PPO | 1P6L | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17039 | Anthem Gold PPO 25/30%/5000 (PY) | PPO | 1P6N | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17040 | Anthem Gold PPO 2600E/30%/4750 w/HSA (PY) | PPO | 1NAY | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17041 | Anthem Gold PPO 2600E/30%/4750 w/HSA (CY) | PPO | 1NCU | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17042 | Anthem Gold PPO 3425/0%/3425 w/HRA (PY) | PPO | 1N9F | OFF-SHOP |
Benefits
| 1/1/2016 | 6/30/2016 | ANT | |
| VA | M | Gold | 17043 | Anthem Gold PPO 3425/0%/3425 w/HRA (CY) | PPO | 1NDU | OFF-SHOP |
Benefits
| 1/1/2016 | 6/30/2016 | ANT | |
| VA | M | Gold | 17044 | Anthem Gold PPO 35/20%/6350 (CY) | PPO | 1P6G | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17045 | Anthem Gold PPO 35/20%/6350 (PY) | PPO | 1P6J | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17046 | Anthem Gold PPO 35/30%/5500 (EPHC) (PY) | PPO | 1N77 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17047 | Anthem Gold PPO 35/30%/5500 (EPHC) (CY) | PPO | 1NB6 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17048 | Anthem Gold PPO 500/20%/4500 (EPHC) (PY) | PPO | 1N6P | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17049 | Anthem Gold PPO 500/20%/4500 (EPHC) (CY) | PPO | 1NE0 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17050 | Anthem Gold PPO 500/30%/5000 (CY) | PPO | 1P6U | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17051 | Anthem Gold PPO 500/30%/5000 (PY) | PPO | 1P6W | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17052 | Anthem Gold PPO 750/20%/4000 (PY) | PPO | 1NAK | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17053 | Anthem Gold PPO 750/20%/4000 (CY) | PPO | 1NDF | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17054 | Anthem HealthKeepers Gold OAPOS 1000/20%/3000 (EPHC) (CY) | POS | 1N8G | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17055 | Anthem HealthKeepers Gold OAPOS 1000/20%/3000 (EPHC) (PY) | POS | 1NAJ | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17056 | Anthem HealthKeepers Gold OAPOS 1000/20%/3500 (PY) | POS | 1N74 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17057 | Anthem HealthKeepers Gold OAPOS 1000/20%/3500 (CY) | POS | 1NDA | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17058 | Anthem HealthKeepers Gold OAPOS 1000/30%/2500 (PY) | POS | 1N99 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17059 | Anthem HealthKeepers Gold OAPOS 1000/30%/2500 (CY) | POS | 1NDP | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17060 | Anthem HealthKeepers Gold OAPOS 1500/20%/3500 (EPHC) (PY) | POS | 1NB9 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17061 | Anthem HealthKeepers Gold OAPOS 1500/20%/3500 (EPHC) (CY) | POS | 1NDW | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17062 | Anthem HealthKeepers Gold OAPOS 1500/30%/4250 (EPHC) (PY) | POS | 1N6T | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17063 | Anthem HealthKeepers Gold OAPOS 1500/30%/4250 (EPHC) (CY) | POS | 1NBG | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17064 | Anthem HealthKeepers Gold OAPOS 1500E/20%/5000 w/HRA (PY) | POS | 1N97 | OFF-SHOP |
Benefits
| 1/1/2016 | 6/30/2016 | ANT | |
| VA | M | Gold | 17065 | Anthem HealthKeepers Gold OAPOS 1500E/20%/5000 w/HRA (CY) | POS | 1ND1 | OFF-SHOP |
Benefits
| 1/1/2016 | 6/30/2016 | ANT | |
| VA | M | Gold | 17066 | Anthem HealthKeepers Gold OAPOS 2000/0%/2000 w/HSA (PY) | POS | 1NAS | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17067 | Anthem HealthKeepers Gold OAPOS 2000/0%/2000 w/HSA (CY) | POS | 1ND2 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17068 | Anthem HealthKeepers Gold OAPOS 2000/20%/3500 (EPHC) (PY) | POS | 1N6X | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17069 | Anthem HealthKeepers Gold OAPOS 2000/20%/3500 (EPHC) (CY) | POS | 1ND7 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17070 | Anthem HealthKeepers Gold OAPOS 2000E/20%/5000 w/HRA (PY) | POS | 1N9B | OFF-SHOP |
Benefits
| 1/1/2016 | 6/30/2016 | ANT | |
| VA | M | Gold | 17071 | Anthem HealthKeepers Gold OAPOS 2000E/20%/5000 w/HRA (CY) | POS | 1NE5 | OFF-SHOP |
Benefits
| 1/1/2016 | 6/30/2016 | ANT | |
| VA | M | Gold | 17072 | Anthem HealthKeepers Gold OAPOS 25/30%/5000 (CY) | POS | 1P6C | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17073 | Anthem HealthKeepers Gold OAPOS 25/30%/5000 (PY) | POS | 1P6E | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17074 | Anthem HealthKeepers Gold OAPOS 2600E/30%/4750 w/HSA (PY) | POS | 1NAM | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17075 | Anthem HealthKeepers Gold OAPOS 2600E/30%/4750 w/HSA (CY) | POS | 1NDH | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17076 | Anthem HealthKeepers Gold OAPOS 3425/0%/3425 w/HRA (PY) | POS | 1N9H | OFF-SHOP |
Benefits
| 1/1/2016 | 6/30/2016 | ANT | |
| VA | M | Gold | 17077 | Anthem HealthKeepers Gold OAPOS 3425/0%/3425 w/HRA (CY) | POS | 1NDQ | OFF-SHOP |
Benefits
| 1/1/2016 | 6/30/2016 | ANT | |
| VA | M | Gold | 17078 | Anthem HealthKeepers Gold OAPOS 35/20%/6350 (CY) | POS | 1P68 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17079 | Anthem HealthKeepers Gold OAPOS 35/20%/6350 (PY) | POS | 1P6A | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17080 | Anthem HealthKeepers Gold OAPOS 35/30%/5500 (EPHC) (PY) | POS | 1N6W | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17081 | Anthem HealthKeepers Gold OAPOS 35/30%/5500 (EPHC) (CY) | POS | 1NCN | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17082 | Anthem HealthKeepers Gold OAPOS 500/20%/4500 (EPHC) (PY) | POS | 1N6R | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17083 | Anthem HealthKeepers Gold OAPOS 500/20%/4500 (EPHC) (CY) | POS | 1ND4 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17084 | Anthem HealthKeepers Gold OAPOS 500/30%/5000 (CY) | POS | 1P6Q | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17085 | Anthem HealthKeepers Gold OAPOS 500/30%/5000 (PY) | POS | 1P6S | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17086 | Anthem HealthKeepers Gold OAPOS 750/20%/4000 (PY) | POS | 1N95 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17087 | Anthem HealthKeepers Gold OAPOS 750/20%/4000 (CY) | POS | 1NDK | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17088 | Anthem HealthKeepers Gold POS 1000/0%/4000 (CY) | POS | 1P76 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17089 | Anthem HealthKeepers Gold POS 1000/0%/4000 (PY) | POS | 1P78 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17090 | Anthem HealthKeepers Gold POS 1000/20%/3000 Plus (PY) | POS | 1ZE8 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17091 | Anthem HealthKeepers Gold POS 1000/20%/3000 Plus (CY) | POS | 1ZEK | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17092 | Anthem HealthKeepers Gold POS 3250/0%/3250 Plus w/HRA (CY) | POS | 2063 | OFF-SHOP |
Benefits
| 1/1/2016 | 6/30/2016 | ANT | |
| VA | M | Gold | 17093 | Anthem HealthKeepers Gold POS 3250/0%/3250 Plus w/HRA (PY) | POS | 1ZDU | OFF-SHOP |
Benefits
| 1/1/2016 | 6/30/2016 | ANT | |
| VA | M | Gold | 17094 | Anthem HealthKeepers Gold POS 500/20%/4000 Plus (CY) | POS | 1P6Y | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Gold | 17095 | Anthem HealthKeepers Gold POS 500/20%/4000 Plus (PY) | POS | 1P70 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17096 | Anthem Silver PPO 2000/30%/4750 (CY) | PPO | 1P7S | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17097 | Anthem Silver PPO 2000/30%/4750 (PY) | PPO | 1P7U | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17098 | Anthem Silver PPO 2000/50%/6350 (EPHC) (PY) | PPO | 1N6C | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17099 | Anthem Silver PPO 2000/50%/6350 (EPHC) (CY) | PPO | 1N7E | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17100 | Anthem Silver PPO 2600E/20%/4500 w/HSA (PY) | PPO | 1N9M | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17101 | Anthem Silver PPO 2600E/20%/4500 w/HSA (CY) | PPO | 1NBU | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17102 | Anthem Silver PPO 2800E/20%/4000 w/HSA (CY) | PPO | 1N9Y | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17103 | Anthem Silver PPO 2800E/20%/4000 w/HSA (PY) | PPO | 1NDM | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17104 | Anthem Silver PPO 3400/0%/3400 w/HSA (CY) | PPO | 1N9T | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17105 | Anthem Silver PPO 3400/0%/3400 w/HSA (PY) | PPO | 1NE6 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17106 | Anthem Silver PPO 3500E/0%/3500 w/HSA (CY) | PPO | 1NAC | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17107 | Anthem Silver PPO 3500E/0%/3500 w/HSA (PY) | PPO | 1NAZ | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17108 | Anthem Silver PPO 4000/20%/6850 (EPHC) (PY) | PPO | 1N5V | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17109 | Anthem Silver PPO 4000/20%/6850 (EPHC) (CY) | PPO | 1N7J | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17110 | Anthem Silver PPO 5500E/0%/5500 w/HRA (PY) | PPO | 1N8D | OFF-SHOP |
Benefits
| 1/1/2016 | 6/30/2016 | ANT | |
| VA | M | Silver | 17111 | Anthem Silver PPO 5500E/0%/5500 w/HRA (CY) | PPO | 1NA3 | OFF-SHOP |
Benefits
| 1/1/2016 | 6/30/2016 | ANT | |
| VA | M | Silver | 17112 | Anthem HealthKeepers Silver OAPOS 2000/30%/4750 (CY) | POS | 1P7N | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17113 | Anthem HealthKeepers Silver OAPOS 2000/30%/4750 (PY) | POS | 1P7Q | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17114 | Anthem HealthKeepers Silver OAPOS 2000/50%/6350 (EPHC) (PY) | POS | 1N6E | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17115 | Anthem HealthKeepers Silver OAPOS 2000/50%/6350 (EPHC) (CY) | POS | 1N8M | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17116 | Anthem HealthKeepers Silver OAPOS 2600E/20%/4500 w/HSA (PY) | POS | 1N9P | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17117 | Anthem HealthKeepers Silver OAPOS 2600E/20%/4500 w/HSA (CY) | POS | 1NBF | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17118 | Anthem HealthKeepers Silver OAPOS 2800E/20%/4000 w/HSA (CY) | POS | 1N7P | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17119 | Anthem HealthKeepers Silver OAPOS 2800E/20%/4000 w/HSA (PY) | POS | 1N8N | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17120 | Anthem HealthKeepers Silver OAPOS 3400/0%/3400 w/HSA (PY) | POS | 1N80 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17121 | Anthem HealthKeepers Silver OAPOS 3400/0%/3400 w/HSA (CY) | POS | 1N8X | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17122 | Anthem HealthKeepers Silver OAPOS 3500E/0%/3500 w/HSA (CY) | POS | 1NAA | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17123 | Anthem HealthKeepers Silver OAPOS 3500E/0%/3500 w/HSA (PY) | POS | 1NAF | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17124 | Anthem HealthKeepers Silver OAPOS 4000/20%/6850 (EPHC) (PY) | POS | 1N6J | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17125 | Anthem HealthKeepers Silver OAPOS 4000/20%/6850 (EPHC) (CY) | POS | 1NC2 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17126 | Anthem HealthKeepers Silver OAPOS 5500E/0%/5500 w/HRA (CY) | POS | 1N7L | OFF-SHOP |
Benefits
| 1/1/2016 | 6/30/2016 | ANT | |
| VA | M | Silver | 17127 | Anthem HealthKeepers Silver OAPOS 5500E/0%/5500 w/HRA (PY) | POS | 1N93 | OFF-SHOP |
Benefits
| 1/1/2016 | 6/30/2016 | ANT | |
| VA | M | Silver | 17128 | Anthem HealthKeepers Silver POS 1250/40%/5500 Plus (CY) | POS | 1P72 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17129 | Anthem HealthKeepers Silver POS 1250/40%/5500 Plus (PY) | POS | 1P74 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17130 | Anthem HealthKeepers Silver POS 1500/35%/5500 Plus (CY) | POS | 1ZEM | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17131 | Anthem HealthKeepers Silver POS 1500/35%/5500 Plus (PY) | POS | 206A | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17132 | Anthem HealthKeepers Silver POS 2000E/0%/6000 (CY) | POS | 1P7F | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17133 | Anthem HealthKeepers Silver POS 2000E/0%/6000 (PY) | POS | 1P7H | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17134 | Anthem HealthKeepers Silver POS 2500/30%/5000 Plus (PY) | POS | 1ZEB | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17135 | Anthem HealthKeepers Silver POS 2500/30%/5000 Plus (CY) | POS | 1ZEF | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17136 | Anthem HealthKeepers Silver POS 2600E/30%/4500 Plus w/HSA (PY) | POS | 1ZE0 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17137 | Anthem HealthKeepers Silver POS 2600E/30%/4500 Plus w/HSA (CY) | POS | 205W | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17138 | Anthem HealthKeepers Silver POS 3000/0%/6500 (CY) | POS | 1P7A | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17139 | Anthem HealthKeepers Silver POS 3000/0%/6500 (PY) | POS | 1P7C | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17140 | Anthem HealthKeepers Silver POS 3000/20%/4500 Plus (CY) | POS | 1ZE9 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17141 | Anthem HealthKeepers Silver POS 3000/20%/4500 Plus (PY) | POS | 205U | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Bronze | 17142 | Anthem Bronze PPO 6000E/0%/6000 w/HSA (PY) | PPO | 1N6L | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Bronze | 17143 | Anthem Bronze PPO 6000E/0%/6000 w/HSA (CY) | PPO | 1N7T | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Bronze | 17144 | Anthem HealthKeepers Bronze OAPOS 6000E/0%/6000 w/HSA (PY) | POS | 1N5T | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Bronze | 17145 | Anthem HealthKeepers Bronze OAPOS 6000E/0%/6000 w/HSA (CY) | POS | 1NA7 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Bronze | 17146 | Anthem HealthKeepers Bronze POS 4250E/30%/6550 Plus w/HSA (PY) | POS | 1ZDY | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Bronze | 17147 | Anthem HealthKeepers Bronze POS 4250E/30%/6550 Plus w/HSA (CY) | POS | 205T | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Bronze | 17148 | Anthem HealthKeepers Bronze POS 4500E/40%/6550 Plus w/HSA (PY) | POS | 2061 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Bronze | 17149 | Anthem HealthKeepers Bronze POS 4500E/40%/6550 Plus w/HSA (CY) | POS | 205V | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Bronze | 17150 | Anthem HealthKeepers Bronze POS 4750E/20%/6550 Plus w/HSA (PY) | POS | 1ZE1 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Bronze | 17151 | Anthem HealthKeepers Bronze POS 4750E/20%/6550 Plus w/HSA (CY) | POS | 1ZEJ | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Bronze | 17152 | Anthem HealthKeepers Bronze POS 5900/0%/6850 Plus (CY) | POS | 1ZE4 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Bronze | 17153 | Anthem HealthKeepers Bronze POS 5900/0%/6850 Plus (PY) | POS | 1ZE5 | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Bronze | 17154 | Anthem HealthKeepers Bronze POS 6300E/0%/6300 Plus w/HSA (PY) | POS | 1ZDW | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Bronze | 17155 | Anthem HealthKeepers Bronze POS 6300E/0%/6300 Plus w/HSA (CY) | POS | 1ZEN | OFF-SHOP |
Benefits
| 1/1/2016 | 12/31/2016 | ANT | |
| VA | M | Platinum | 17200 | Anthem Platinum PPO 35/0%/4000 (CY) | PPO | 20V5 | OFF-SHOP |
Benefits
| 4/1/2016 | 12/31/2016 | ANT | |
| VA | M | Platinum | 17201 | Anthem Platinum PPO 35/0%/4000 (PY) | PPO | 20V7 | OFF-SHOP |
Benefits
| 4/1/2016 | 12/31/2016 | ANT | |
| VA | M | Platinum | 17202 | Anthem HealthKeepers Platinum OAPOS 35/0%/4000 (CY) | POS | 20UF | OFF-SHOP |
Benefits
| 4/1/2016 | 12/31/2016 | ANT | |
| VA | M | Platinum | 17203 | Anthem HealthKeepers Platinum OAPOS 35/0%/4000 (PY) | POS | 20UH | OFF-SHOP |
Benefits
| 4/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17204 | Anthem Silver PPO 2600E/30%/4750 w/HSA (CY) | PPO | 20UX | OFF-SHOP |
Benefits
| 4/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17205 | Anthem Silver PPO 2600E/30%/4750 w/HSA (PY) | PPO | 20UZ | OFF-SHOP |
Benefits
| 4/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17206 | Anthem Silver PPO 2600E/20%/4500 w/HSA V2 (CY) | PPO | 20UK | OFF-SHOP |
Benefits
| 4/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17207 | Anthem Silver PPO 2600E/20%/4500 w/HSA V2 (PY) | PPO | 20UM | OFF-SHOP |
Benefits
| 4/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17208 | Anthem HealthKeepers Silver OAPOS 2600E/30%/4750 w/HSA (CY) | POS | 20UP | OFF-SHOP |
Benefits
| 4/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17209 | Anthem HealthKeepers Silver OAPOS 2600E/30%/4750 w/HSA (PY) | POS | 20UR | OFF-SHOP |
Benefits
| 4/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17210 | Anthem HealthKeepers Silver OAPOS 2600E/20%/4500 w/HSA v2 (CY) | POS | 20V1 | OFF-SHOP |
Benefits
| 4/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17211 | Anthem HealthKeepers Silver OAPOS 2600E/20%/4500 w/HSA v2 (PY) | POS | 20V3 | OFF-SHOP |
Benefits
| 4/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17212 | Anthem HealthKeepers Silver POS 2600E/10%/6550 Plus w/HSA (CY) | POS | 20UT | OFF-SHOP |
Benefits
| 4/1/2016 | 12/31/2016 | ANT | |
| VA | M | Silver | 17213 | Anthem HealthKeepers Silver POS 2600E/10%/6550 Plus w/HSA (PY) | POS | 20UV | OFF-SHOP |
Benefits
| 4/1/2016 | 12/31/2016 | ANT | |
| MD | M | Gold | 17301 | MD Gold HNOnly 500 90% T | HMO | 14032960 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Gold | 17302 | MD Gold HNOnly 70% T | HMO | 14032961 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Gold | 17303 | MD Gold HNOnly 1000 80% T | HMO | 14032956 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17304 | MD Silver HNOnly 1600 70% | HMO | 14032965 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17305 | MD Silver HNOnly 2700 100% HSA T | HMO | 14032966 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Gold | 17306 | MD Gold HNOnly SJ 1500 100% | HMO | 14032964 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17307 | MD Silver HNOnly SJ 2500 100% | HMO | 14032976 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17308 | MD Silver HNOnly SJ 3500 100% | HMO | 14032977 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17309 | MD Silver HNOnly 3200 60% T | HMO | 14032968 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Gold | 17310 | MD Gold HMO 3500 100% Simple | HMO | 14032982 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17311 | MD Silver HMO 5350 100% Simple | HMO | 14032987 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Bronze | 17312 | MD Bronze HMO 6450 100% Simple HSA E | HMO | 14032980 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Gold | 17313 | MD Gold PPO 500 90/70 T | PPO | 14032997 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Gold | 17314 | MD Gold PPO 70/50 T | PPO | 14032998 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Gold | 17315 | MD Gold PPO 1000 80/60 T | PPO | 14032993 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17316 | MD Silver PPO 1600 70/50 | PPO | 14033001 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17317 | MD Silver PPO 3200 60/50 T | PPO | 14033003 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Gold | 17318 | MD Gold PPO SJ 1500 100/80 | PPO | 14033000 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17319 | MD Silver PPO SJ 2500 100/80 | PPO | 14033007 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17320 | MD Silver PPO SJ 3500 100/80 | PPO | 14033008 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17321 | MD Silver PPO 2700 100/80 HSA T | PPO | 14033002 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17322 | MD Silver HMO 2700 100% HSA T | HMO | 14032984 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17323 | MD Silver HMO 2700 100% HSA T MCN | HMO | 14032967 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17324 | MD Silver HMO 3200 60% T MCN | HMO | 14032969 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17325 | MD Silver HMO 3500 90% HSA E MCN | HMO | 14032973 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Bronze | 17326 | MD Bronze HMO 6450 100% Simple HSA E MCN | HMO | 14032981 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17327 | MD Silver HMO 5350 100% Simple MCN | HMO | 14032988 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Gold | 17328 | MD Gold HMO 3500 100% Simple MCN | HMO | 14032983 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Bronze | 17329 | MD Bronze HMO 5600 100% HSA E MCN | HMO | 14032954 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17330 | MD Silver HMO SJ 3500 100% MCN | HMO | 14032978 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17331 | MD Silver HMO 3200 60% T | HMO | 14032985 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17332 | MD Silver HMO 3500 90% HSA E | HMO | 14032986 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17333 | MD Silver HMO SJ 3500 100% | HMO | 14032989 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Bronze | 17334 | MD Bronze HMO 5600 100% HSA E | HMO | 14032979 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Gold | 17335 | MD Gold HNOnly 1700 100% HSA T | HMO | 14032959 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17336 | MD Silver HNOnly 3500 90% HSA E | HMO | 14032972 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Bronze | 17337 | MD Bronze HNOnly 5600 100% HSA E | HMO | 14032953 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Gold | 17338 | MD Gold PPO 1700 100/80 HSA T | PPO | 14032996 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Silver | 17339 | MD Silver PPO 3500 90/70 HSA E | PPO | 14033006 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| MD | M | Bronze | 17340 | MD Bronze PPO 5600 100/80 HSA E | PPO | 14032990 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17401 | VA Aetna Silver Indemnity 2000 80% | XXX | 14033100 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Silver | 17402 | VA IH Silver Indemnity 2000 80% | XXX | 14033101 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Gold | 17403 | VA IH Signature Plus Gold HMO 3500 | HMO | 14033190 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17404 | VA IH Signature Plus Silver HMO 5350 | HMO | 14033191 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Bronze | 17405 | VA IH Signature Plus Bronze HMO 6500 HSA | HMO | 14033192 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17406 | VA Gold AWH Coastal PPO 1000 80/60/50 | PPO | 14033135 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Gold | 17407 | VA Gold AWH Coastal PPO 500 90/60/50 | PPO | 14033134 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Silver | 17408 | VA Silver AWH Coastal PPO 2000 75/60/50 | PPO | 14033136 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Silver | 17409 | VA Silver AWH Coastal PPO 3000/6000 100/60/50 | PPO | 14033137 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Silver | 17410 | VA Aetna Silver PPO 2500 70/50 HSA T | PPO | 14033116 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17411 | VA Aetna Silver PPO 3500 100/50 HSA | PPO | 14033120 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17412 | VA Aetna Gold PPO 1700 100/50 HSA T | PPO | 14033114 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17413 | VA Silver AWH Coastal PPO 3500 100/70/50 HSA | PPO | 14033138 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Bronze | 17414 | VA Bronze AWH Coastal PPO 6000 100/70/50 HSA | PPO | 14033139 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Silver | 17415 | VA Aetna Silver PPO 3000 90/50 HSA | PPO | 14033118 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17416 | VA Aetna Gold PPO 100/50 500A | PPO | 14033102 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17417 | VA Aetna Gold PPO 500 80/50 | PPO | 14033104 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17418 | VA Aetna Gold PPO 1000 100/50 | PPO | 14033106 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17419 | VA Aetna Gold PPO 1000 80/50 | PPO | 14033108 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17420 | VA Aetna Silver PPO 3000 100/50 | PPO | 14033110 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17421 | VA Aetna Silver PPO 2500 100/50 SJ | PPO | 14033124 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17422 | VA Aetna Silver PPO 3500 100/50 SJ | PPO | 14033126 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Bronze | 17423 | VA Aetna Bronze PPO 5600 80/50 HSA | PPO | 14033122 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17424 | VA Aetna Silver PPO 3000 80/50 | PPO | 14033112 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17425 | VA Aetna Gold Designated PCP PPO 1500 80/50 | PPO | 14033128 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17426 | VA Aetna Silver Designated PCP PPO 2500 75/50 | PPO | 14033132 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17427 | VA Aetna Silver Designated PCP PPO 2000 60/50 | PPO | 14033130 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17428 | VA Aetna Gold Simple HMO 3500 100 | HMO | 14033193 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17429 | VA Aetna Silver Simple HMO 5350 100 | HMO | 14033194 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Bronze | 17430 | VA Aetna Bronze Simple HMO 6500 HSA | HMO | 14033195 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17431 | VA IH Signature Gold HMO 1000 100 | HMO | 14033187 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17432 | VA IH Signature Silver HMO 2000 100 | HMO | 14033188 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17433 | VA IH Signature Silver HMO 2500 70 HSA T | HMO | 14033189 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17434 | VA Gold AWH Gateway PPO 1000 80/60/50 | PPO | 14033141 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Gold | 17435 | VA Gold AWH Gateway PPO 500 90/60/50 | PPO | 14033140 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Silver | 17436 | VA Silver AWH Gateway PPO 3000/6000 100/60/50 | PPO | 14033143 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Silver | 17437 | VA Silver AWH Gateway PPO 2000 75/60/50 | PPO | 14033142 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Silver | 17438 | VA Silver AWH Gateway PPO 3500 100/70/50 HSA | PPO | 14033144 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Bronze | 17439 | VA Bronze AWH Gateway PPO 6000 100/70/50 HSA | PPO | 14033145 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Gold | 17440 | VA Gold AWH Gateway HNOnly 1000 80/60 | HMO | 14033147 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Gold | 17441 | VA Gold AWH Gateway HNOnly 500 90/60 | HMO | 14033146 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Silver | 17442 | VA Silver AWH Gateway HNOnly 3000/6000 100/60 | HMO | 14033149 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Silver | 17443 | VA Silver AWH Gateway HNOnly 2000 75/60 | HMO | 14033148 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Silver | 17444 | VA Silver AWH Gateway HNOnly 3500 100/70 HSA | HMO | 14033150 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Bronze | 17445 | VA Bronze AWH Gateway HNOnly 6000 100/70 HSA | HMO | 14033151 | OFF-SHOP |
Benefits
| 1/1/2017 | 9/30/2017 | AET | |
| VA | M | Silver | 17446 | VA Aetna Silver HNOnly 2500 70% HSA T | HMO | 14033166 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17447 | VA Aetna Silver HNOnly 3500 100% HSA | HMO | 14033170 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17448 | VA Aetna Gold HNOnly 1700 100% HSA T | HMO | 14033164 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17449 | VA Aetna Silver HNOnly 3000 90% HSA | HMO | 14033168 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17450 | VA Aetna Gold HNOnly 100% 500A | HMO | 14033154 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17451 | VA Aetna Gold HNOnly 500 80% | HMO | 14033152 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17452 | VA Aetna Gold HNOnly 1000 100% | HMO | 14033158 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17453 | VA Aetna Gold HNOnly 1000 80% | HMO | 14033156 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17454 | VA Aetna Silver HNOnly 3000 100% | HMO | 14033162 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17455 | VA Aetna Silver HNOnly 3500 100% SJ | HMO | 14033176 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17456 | VA Aetna Silver HNOnly 2500 100% SJ | HMO | 14033174 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Bronze | 17457 | VA Aetna Bronze HNOnly 5600 80% HSA | HMO | 14033172 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17458 | VA Aetna Silver HNOnly 3000 80% | HMO | 14033160 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17459 | VA Aetna Gold Designated PCP HNOnly 1500 80% | HMO | 14033178 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17460 | VA Aetna Silver Designated PCP HNOnly 2500 75% | HMO | 14033182 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17461 | VA Aetna Silver Designated PCP HNOnly 2000 60% | HMO | 14033180 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17462 | VA IH Silver PPO 2500 70/50 HSA T | PPO | 14033117 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17463 | VA IH Silver PPO 3500 100/50 HSA | PPO | 14033121 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17464 | VA IH Gold PPO 1000 100/50 | PPO | 14033107 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17465 | VA IH Gold PPO 1000 80/50 | PPO | 14033109 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17466 | VA IH Silver PPO 3000 100/50 | PPO | 14033111 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17467 | VA IH Silver PPO 2500 100/50 SJ | PPO | 14033125 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17468 | VA IH Silver PPO 3500 100/50 SJ | PPO | 14033127 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17469 | VA IH Silver PPO 3000 90/50 HSA | PPO | 14033119 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17470 | VA IH Gold PPO 1700 100/50 HSA T | PPO | 14033115 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17471 | VA IH Gold PPO 100/50 500A | PPO | 14033103 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17472 | VA IH Gold PPO 500 80/50 | PPO | 14033105 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Bronze | 17473 | VA IH Bronze PPO 5600 80/50 HSA | PPO | 14033123 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17474 | VA IH Silver PPO 3000 80/50 | PPO | 14033113 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17475 | VA IH Gold Designated PCP PPO 1500 80/50 | PPO | 14033129 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17476 | VA IH Silver Designated PCP PPO 2500 75/50 | PPO | 14033133 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17477 | VA IH Silver Designated PCP PPO 2000 60/50 | PPO | 14033131 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17478 | VA IH Silver Open HMO 2500 70% HSA T | HMO | 14033167 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17479 | VA IH Silver Open HMO 3500 100% HSA | HMO | 14033171 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17480 | VA IH Gold Open HMO1700 100% HSA T | HMO | 14033165 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17481 | VA IH Silver Open HMO 3000 90% HSA | HMO | 14033169 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17482 | VA IH Gold Open HMO 100% 500A | HMO | 14033155 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17483 | VA IH Gold Open HMO 500 80% | HMO | 14033153 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17484 | VA IH Gold Open HMO 1000 100% | HMO | 14033159 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17485 | VA IH Gold Open HMO 1000 80% | HMO | 14033157 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17486 | VA IH Silver Open HMO 3000 100% | HMO | 14033163 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17487 | VA IH Silver Open HMO 3500 100% SJ | HMO | 14033177 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17488 | VA IH Silver 2500 Open HMO 100% SJ | HMO | 14033175 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Bronze | 17489 | VA IH Bronze Open HMO 5600 80% HSA | HMO | 14033173 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17490 | VA IH Silver Open HMO 3000 80% | HMO | 14033161 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Gold | 17491 | VA IH Gold Designated PCP Open HMO 1500 80% | HMO | 14033179 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17492 | VA IH Silver Designated PCP Open HMO 2500 75% | HMO | 14033183 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Silver | 17493 | VA IH Silver Designated PCP Open HMO 2000 60% | HMO | 14033181 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Platinum | 17494 | VA Aetna Platinum PPO 90/50 | PPO | 14034344 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Platinum | 17495 | VA IH Platinum PPO 90/50 | PPO | 14034345 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Platinum | 17496 | VA Aetna Platinum HNOnly 90% | HMO | 14034346 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Platinum | 17497 | VA IH Platinum Open HMO 90% | HMO | 14034347 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | AET | |
| VA | M | Platinum | 18100 | Anthem Platinum PPO 10/0%/3500 (CY) | PPO | 21AL | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Platinum | 18101 | Anthem Platinum PPO 10/0%/3000 (CY) | PPO | 2197 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Platinum | 18102 | Anthem Platinum PPO 20/0%/3000 (CY) | PPO | 202U | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Platinum | 18103 | Anthem HealthKeepers Platinum OAPOS 10/0%/3500 (CY) | POS | 21AG | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Platinum | 18104 | Anthem HealthKeepers Platinum OAPOS 10/0%/3000 (CY) | POS | 2193 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Platinum | 18105 | Anthem HealthKeepers Platinum OAPOS 20/0%/3000 (CY) | POS | 202Q | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18106 | Anthem Gold PPO 25/20%/4500 (CY) | PPO | 203W | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18107 | Anthem Gold PPO 30/30%/5500 (CY) | PPO | 218U | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18108 | Anthem Gold PPO 500/20%/5000 (CY) | PPO | 200Z | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18109 | Anthem Gold PPO 500/30%/5000 (CY) | PPO | 2022 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18110 | Anthem Gold PPO 750/20%/4000 (CY) | PPO | 21AE | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18111 | Anthem Gold PPO 1000/20%/3000 (CY) | PPO | 219C | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18112 | Anthem Gold PPO 1000/20%/4000 (CY) | PPO | 200Q | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18113 | Anthem Gold PPO 1500/20%/4000 (CY) | PPO | 201T | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18114 | Anthem Gold PPO 1500/30%/4250 (CY) | PPO | 2027 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18115 | Anthem Gold PPO 2000/20%/3500 (CY) | PPO | 202L | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18116 | Anthem HealthKeepers Gold OAPOS 25/20%/4500 (CY) | POS | 2041 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18117 | Anthem HealthKeepers Gold OAPOS 30/30%/5500 (CY) | POS | 218Z | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18118 | Anthem HealthKeepers Gold OAPOS 500/20%/5000 (CY) | POS | 2013 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18119 | Anthem HealthKeepers Gold OAPOS 500/30%/5000 (CY) | POS | 201Y | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18120 | Anthem HealthKeepers Gold OAPOS 750/20%/4000 (CY) | POS | 21AA | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18121 | Anthem HealthKeepers Gold POS 1000/0%/5000 (CY) | POS | 21AS | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18122 | Anthem HealthKeepers Gold OAPOS 1000/20%/3000 (CY) | POS | 219E | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18123 | Anthem HealthKeepers Gold POS 1000/20%/3000 Plus (CY) | POS | 217Y | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18124 | Anthem HealthKeepers Gold OAPOS 1000/20%/4000 (CY) | POS | 200U | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18125 | Anthem HealthKeepers Gold OAPOS 1500/20%/4000 (CY) | POS | 201Q | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18126 | Anthem HealthKeepers Gold OAPOS 1500/30%/4250 (CY) | POS | 202C | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18127 | Anthem HealthKeepers Gold POS 2000/0%/4000 (CY) | POS | 2049 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18128 | Anthem HealthKeepers Gold OAPOS 2000/20%/3500 (CY) | POS | 202G | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18129 | Anthem Gold PPO 2000/0%/2000 (CY) | PPO | 219K | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18130 | Anthem HealthKeepers Gold OAPOS 2000/0%/2000 (CY) | POS | 219P | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18131 | Anthem Silver PPO 2000/50%/7150 (CY) | PPO | 201L | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18132 | Anthem Silver PPO 4000/20%/6850 (CY) | PPO | 2018 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18133 | Anthem HealthKeepers Silver POS 1500/35%/5500 Plus (CY) | POS | 2186 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18134 | Anthem HealthKeepers Silver POS 3000E/0%/5000 (CY) | POS | 200K | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18135 | Anthem HealthKeepers Silver OAPOS 2000/50%/7150 (CY) | POS | 201G | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18136 | Anthem HealthKeepers Silver POS 2500/30%/5000 Plus (CY) | POS | 2183 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18137 | Anthem HealthKeepers Silver POS 3500/0%/7000 (CY) | POS | 200D | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18138 | Anthem HealthKeepers Silver POS 3000/20%/5000 Plus (CY) | POS | 218D | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18139 | Anthem HealthKeepers Silver OAPOS 4000/20%/6850 (CY) | POS | 201B | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18140 | Anthem Silver PPO 2700E/20%/4500 w/HSA (CY) | PPO | 202Y | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18141 | Anthem Silver PPO 2700E/30%/4750 w/HSA (CY) | PPO | 203A | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18142 | Anthem Silver PPO 3500/0%/6550 w/HSA (CY) | PPO | 21A0 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18143 | Anthem Silver PPO 4000E/0%/4000 w/HSA (CY) | PPO | 219W | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18144 | Anthem HealthKeepers Silver OAPOS 2700E/20%/4500 w/HSA (CY) | POS | 2032 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18145 | Anthem HealthKeepers Silver OAPOS 2700E/30%/4750 w/HSA (CY) | POS | 2036 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18146 | Anthem HealthKeepers Silver OAPOS 3500/0%/6550 w/HSA (CY) | POS | 21A5 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18147 | Anthem HealthKeepers Silver OAPOS 4000E/0%/4000 w/HSA (CY) | POS | 219S | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Bronze | 18148 | Anthem HealthKeepers Bronze POS 5900/0%/6850 Plus (CY) | POS | 217P | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Bronze | 18149 | Anthem Bronze PPO 6550E/0%/6550 w/HSA (CY) | PPO | 204M | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Bronze | 18150 | Anthem HealthKeepers Bronze POS 5000E/40%/6550 w/HSA (CY) | POS | 218N | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Bronze | 18151 | Anthem HealthKeepers Bronze OAPOS 6550E/0%/6550 w/HSA (CY) | POS | 204H | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Bronze | 18152 | Anthem HealthKeepers Bronze POS 6250E/0%/6550 Plus w/HSA (CY) | POS | 218L | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Platinum | 18153 | Anthem Platinum PPO 10/0%/3500 (PY) | PPO | 21AN | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Platinum | 18154 | Anthem Platinum PPO 10/0%/3000 (PY) | PPO | 2196 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Platinum | 18155 | Anthem Platinum PPO 20/0%/3000 (PY) | PPO | 202W | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Platinum | 18156 | Anthem HealthKeepers Platinum OAPOS 10/0%/3500 (PY) | POS | 21AJ | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Platinum | 18157 | Anthem HealthKeepers Platinum OAPOS 10/0%/3000 (PY) | POS | 2192 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Platinum | 18158 | Anthem HealthKeepers Platinum OAPOS 20/0%/3000 (PY) | POS | 202S | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18159 | Anthem Gold PPO 25/20%/4500 (PY) | PPO | 203Y | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18160 | Anthem Gold PPO 30/30%/5500 (PY) | PPO | 218T | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18161 | Anthem Gold PPO 500/20%/5000 (PY) | PPO | 200X | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18162 | Anthem Gold PPO 500/30%/5000 (PY) | PPO | 2024 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18163 | Anthem Gold PPO 750/20%/4000 (PY) | PPO | 21AC | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18164 | Anthem Gold PPO 1000/20%/3000 (PY) | PPO | 2199 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18165 | Anthem Gold PPO 1000/20%/4000 (PY) | PPO | 200N | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18166 | Anthem Gold PPO 1500/20%/4000 (PY) | PPO | 201R | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18167 | Anthem Gold PPO 1500/30%/4250 (PY) | PPO | 2025 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18168 | Anthem Gold PPO 2000/20%/3500 (PY) | PPO | 202J | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18169 | Anthem HealthKeepers Gold OAPOS 25/20%/4500 (PY) | POS | 2046 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18170 | Anthem HealthKeepers Gold OAPOS 30/30%/5500 (PY) | POS | 218X | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18171 | Anthem HealthKeepers Gold OAPOS 500/20%/5000 (PY) | POS | 2012 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18172 | Anthem HealthKeepers Gold OAPOS 500/30%/5000 (PY) | POS | 2020 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18173 | Anthem HealthKeepers Gold OAPOS 750/20%/4000 (PY) | POS | 21A7 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18174 | Anthem HealthKeepers Gold POS 1000/0%/5000 (PY) | POS | 21AU | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18175 | Anthem HealthKeepers Gold OAPOS 1000/20%/3000 (PY) | POS | 219G | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18176 | Anthem HealthKeepers Gold POS 1000/20%/3000 Plus (PY) | POS | 217W | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18177 | Anthem HealthKeepers Gold OAPOS 1000/20%/4000 (PY) | POS | 200T | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18178 | Anthem HealthKeepers Gold OAPOS 1500/20%/4000 (PY) | POS | 201N | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18179 | Anthem HealthKeepers Gold OAPOS 1500/30%/4250 (PY) | POS | 2029 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18180 | Anthem HealthKeepers Gold POS 2000/0%/4000 (PY) | POS | 204B | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18181 | Anthem HealthKeepers Gold OAPOS 2000/20%/3500 (PY) | POS | 202E | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18182 | Anthem Gold PPO 2000/0%/2000 (PY) | PPO | 219J | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18183 | Anthem HealthKeepers Gold OAPOS 2000/0%/2000 (PY) | POS | 219N | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18184 | Anthem Silver PPO 2000/50%/7150 (PY) | PPO | 201H | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18185 | Anthem Silver PPO 4000/20%/6850 (PY) | PPO | 2015 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18186 | Anthem HealthKeepers Silver POS 1500/35%/5500 Plus (PY) | POS | 218A | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18187 | Anthem HealthKeepers Silver POS 3000E/0%/5000 (PY) | POS | 200M | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18188 | Anthem HealthKeepers Silver OAPOS 2000/50%/7150 (PY) | POS | 201D | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18189 | Anthem HealthKeepers Silver POS 2500/30%/5000 Plus (PY) | POS | 2182 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18190 | Anthem HealthKeepers Silver POS 3500/0%/7000 (PY) | POS | 200F | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18191 | Anthem HealthKeepers Silver POS 3000/20%/5000 Plus (PY) | POS | 218F | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18192 | Anthem HealthKeepers Silver OAPOS 4000/20%/6850 (PY) | POS | 201A | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18193 | Anthem Silver PPO 2700E/20%/4500 w/HSA (PY) | PPO | 2030 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18194 | Anthem Silver PPO 2700E/30%/4750 w/HSA (PY) | PPO | 203C | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18195 | Anthem Silver PPO 3500/0%/6550 w/HSA (PY) | PPO | 21A2 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18196 | Anthem Silver PPO 4000E/0%/4000 w/HSA (PY) | PPO | 219Y | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18197 | Anthem HealthKeepers Silver OAPOS 2700E/20%/4500 w/HSA (PY) | POS | 2034 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18198 | Anthem HealthKeepers Silver OAPOS 2700E/30%/4750 w/HSA (PY) | POS | 2038 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18199 | Anthem HealthKeepers Silver OAPOS 3500/0%/6550 w/HSA (PY) | POS | 21A4 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18200 | Anthem HealthKeepers Silver OAPOS 4000E/0%/4000 w/HSA (PY) | POS | 219U | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Bronze | 18201 | Anthem HealthKeepers Bronze POS 5900/0%/6850 Plus (PY) | POS | 217Q | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Bronze | 18202 | Anthem Bronze PPO 6550E/0%/6550 w/HSA (PY) | PPO | 204P | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Bronze | 18203 | Anthem HealthKeepers Bronze POS 5000E/40%/6550 w/HSA (PY) | POS | 218Q | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Bronze | 18204 | Anthem HealthKeepers Bronze OAPOS 6550E/0%/6550 w/HSA (PY) | POS | 204K | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Bronze | 18205 | Anthem HealthKeepers Bronze POS 6250E/0%/6550 Plus w/HSA (PY) | POS | 218K | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18206 | Anthem HealthKeepers Gold X OAPOS 3000/0%/4000 (CY) | POS | 201V | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18207 | Anthem HealthKeepers Gold Pathway X POS 500/20%/5000 Plus (CY) | POS | 217T | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Gold | 18208 | Anthem HealthKeepers Gold Pathway X POS 1000/20%/2900 Plus (CY) | POS | 202M | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18209 | Anthem HealthKeepers Silver X POS 2000/0%/5000 (CY) | POS | 200G | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18210 | Anthem HealthKeepers Silver X OAPOS 4500E/0%/6000 (CY) | POS | 21AP | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Silver | 18211 | Anthem HealthKeepers Silver Pathway X POS 2000/30%/6750 Plus (CY) | POS | 217Z | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| VA | M | Bronze | 18212 | Anthem HealthKeepers Bronze Pathway X POS 6550E/0%/6550 Plus w/HSA (CY) | POS | 218G | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | ANT | |
| MD | M | Platinum | 19000 | KP MD Platinum 0/20/Dental/Ped Dental (Signature) | HMO | 90296MD0570001 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Gold | 19001 | KP MD Gold 0/20/Dental/Ped Dental (Signature) | HMO | 90296MD0570004 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Platinum | 19002 | KP MD Platinum 0/20/Dental/Ped Dental (Signature) | HMO | 90296MD0590001 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Gold | 19003 | KP MD Gold 0/20/Dental/Ped Dental (Signature) | HMO | 90296MD0590004 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Platinum | 19004 | KP MD Platinum 0/20/Dental/Ped Dental (Select) | HMO | 90296MD0590015 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Gold | 19005 | KP MD Gold 0/20/Dental/Ped Dental (Select) | HMO | 90296MD0590018 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Platinum | 19006 | KP MD Platinum 500/20/Dental/Ped Dental (Signature) | HMO | 90296MD0570002 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Platinum | 19007 | KP MD Platinum 500/20/Dental/Ped Dental (Signature) | HMO | 90296MD0590002 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Platinum | 19008 | KP MD Platinum 500/20/Dental/Ped Dental (Select) | HMO | 90296MD0590016 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Gold | 19009 | KP MD Gold 500/20/Dental/Ped Dental (Signature) | HMO | 90296MD0590029 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Gold | 19010 | KP MD Gold 500/20/Dental/Ped Dental (Select) | HMO | 90296MD0590030 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Gold | 19011 | KP MD Gold 1000/30/Dental/Ped Dental (Signature) | HMO | 90296MD0570005 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Bronze | 19012 | KP MD Bronze 5250/50/Dental/Ped Dental (Signature) | HMO | 90296MD0570012 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Gold | 19013 | KP MD Gold 1000/30/Dental/Ped Dental (Signature) | HMO | 90296MD0590005 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Bronze | 19014 | KP MD Bronze 5250/50/Dental/Ped Dental (Signature) | HMO | 90296MD0590012 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Gold | 19015 | KP MD Gold 1000/30/Dental/Ped Dental (Select) | HMO | 90296MD0590019 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Bronze | 19016 | KP MD Bronze 5250/50/Dental/Ped Dental (Select) | HMO | 90296MD0590026 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Silver | 19017 | KP MD Silver 1350/30/Dental/Ped Dental (Signature) | HMO | 90296MD0570008 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Silver | 19018 | KP MD Silver 2250/30/Dental/Ped Dental (Signature) | HMO | 90296MD0570009 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Silver | 19019 | KP MD Silver 1350/30/Dental/Ped Dental (Signature) | HMO | 90296MD0590008 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Silver | 19020 | KP MD Silver 2250/30/Dental/Ped Dental (Signature) | HMO | 90296MD0590009 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Silver | 19021 | KP MD Silver 1350/30/Dental/Ped Dental (Select) | HMO | 90296MD0590022 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Silver | 19022 | KP MD Silver 2250/30/Dental/Ped Dental (Select) | HMO | 90296MD0590023 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Platinum | 19023 | KP MD Platinum 1350/20/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 90296MD0570003 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Platinum | 19024 | KP MD Platinum 1350/20/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 90296MD0590003 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Platinum | 19025 | KP MD Platinum 1350/20/HSA/HRA/Dental/Ped Dental (Select) | HMO | 90296MD0590017 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Gold | 19026 | KP MD Gold 1350/0%/HSA/ Dental/Ped Dental (Signature) | HMO | 90296MD0570006 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Gold | 19027 | KP MD Gold 1350/0%/HSA/ Dental/Ped Dental (Signature) | HMO | 90296MD0590006 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Gold | 19028 | KP MD Gold 1350/0%/HSA/ Dental/Ped Dental (Select) | HMO | 90296MD0590020 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Gold | 19029 | KP MD Gold 1000/30/POS/Dental/Ped Dental (Signature) | POS | 90296MD0600001 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Gold | 19030 | KP MD Gold 1000/30/POS/Dental/Ped Dental (Select) | POS | 90296MD0600005 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Gold | 19031 | KP MD Gold 1250/25/3TPOS/Dental/Ped Dental (Signature) | POS | 90296MD0600007 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Gold | 19032 | KP MD Gold 500/25/3TPOS/Dental/Ped Dental (Signature) | POS | 90296MD0600008 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Silver | 19033 | KP MD Silver 1500/30/HSA/Dental/Ped Dental (Signature) | HMO | 90296MD0570010 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Silver | 19034 | KP MD Silver 2500/30/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 90296MD0570011 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Silver | 19035 | KP MD Silver 1500/30/HSA/Dental/Ped Dental (Signature) | HMO | 90296MD0590010 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Silver | 19036 | KP MD Silver 2500/30/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 90296MD0590011 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Silver | 19037 | KP MD Silver 1500/30/HSA/Dental/Ped Dental (Select) | HMO | 90296MD0590024 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Silver | 19038 | KP MD Silver 2500/30/HSA/HRA/Dental/Ped Dental (Select) | HMO | 90296MD0590025 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Silver | 19039 | KP MD Silver 2250/30/POS/Dental/Ped Dental (Signature) | POS | 90296MD0600002 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Silver | 19040 | KP MD Silver 2250/30/POS/Dental/Ped Dental (Select) | POS | 90296MD0600006 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Bronze | 19041 | KP MD Bronze 5750/50/40%/HSA/Dental/Ped Dental (Signature) | HMO | 90296MD0570014 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Bronze | 19042 | KP MD Bronze 5750/50/40%/HSA/Dental/Ped Dental (Signature) | HMO | 90296MD0590014 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Bronze | 19043 | KP MD Bronze 5750/50/40%/HSA/Dental/Ped Dental (Select) | HMO | 90296MD0590028 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Bronze | 19044 | KP MD Bronze 6550/0%/HSA/Dental/Ped Dental (Signature) | HMO | 90296MD0570013 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Bronze | 19045 | KP MD Bronze 6550/0%/HSA/Dental/Ped Dental (Signature) | HMO | 90296MD0590013 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Bronze | 19046 | KP MD Bronze 6550/0%/HSA/Dental/Ped Dental (Select) | HMO | 90296MD0590027 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Gold | 19047 | KP MD Gold 1700/30/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 90296MD0570007 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Gold | 19048 | KP MD Gold 1700/30/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 90296MD0590007 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Gold | 19049 | KP MD Gold 1700/30/HSA/HRA/Dental/Ped Dental (Select) | HMO | 90296MD0590021 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Bronze | 19050 | KP MD Bronze 5250/50/POS/Dental/Ped Dental (Signature) | POS | 90296MD0580001 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Bronze | 19051 | KP MD Bronze 5250/50/POS/Dental/Ped Dental (Signature) | POS | 90296MD0600003 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Bronze | 19052 | KP MD Bronze 5250/50/POS/Dental/Ped Dental (Select) | POS | 90296MD0600004 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Silver | 19053 | KP MD Silver 2750/55/3TPOS/Dental/Ped Dental (Signature) | POS | 90296MD0600009 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Platinum | 19054 | KP VA Platinum 0/20/Dental/Ped Dental (Signature) | HMO | 95185VA0500001 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19055 | KP VA Gold 0/20/Dental/Ped Dental (Signature) | HMO | 95185VA0500004 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Platinum | 19056 | KP VA Platinum 0/20/Dental/Ped Dental (Signature) | HMO | 95185VA0510001 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Platinum | 19057 | KP VA Platinum 0/20/Dental/Ped Dental (Select) | HMO | 95185VA0510015 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19058 | KP VA Gold 0/20/Dental/Ped Dental (Signature) | HMO | 95185VA0510004 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19059 | KP VA Gold 0/20/Dental/Ped Dental (Select) | HMO | 95185VA0510018 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Platinum | 19060 | KP VA Platinum 500/20/Dental/Ped Dental (Signature) | HMO | 95185VA0500002 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19061 | KP VA Gold 500/20/Dental/Ped Dental (Signature) | HMO | 95185VA0500015 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Platinum | 19062 | KP VA Platinum 500/20/Dental/Ped Dental (Signature) | HMO | 95185VA0510002 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Platinum | 19063 | KP VA Platinum 500/20/Dental/Ped Dental (Select) | HMO | 95185VA0510016 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19064 | KP VA Gold 500/20/Dental/Ped Dental (Signature) | HMO | 95185VA0510029 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19065 | KP VA Gold 500/20/Dental/Ped Dental (Select) | HMO | 95185VA0510030 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19066 | KP VA Gold 1000/30/Dental/Ped Dental (Signature) | HMO | 95185VA0500005 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Bronze | 19067 | KP VA Bronze 5250/50/Dental/Ped Dental (Signature) | HMO | 95185VA0500012 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19068 | KP VA Gold 1000/30/Dental/Ped Dental (Signature) | HMO | 95185VA0510005 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19069 | KP VA Gold 1000/30/Dental/Ped Dental (Select) | HMO | 95185VA0510019 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Bronze | 19070 | KP VA Bronze 5250/50/Dental/Ped Dental (Signature) | HMO | 95185VA0510012 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Bronze | 19071 | KP VA Bronze 5250/50/Dental/Ped Dental (Select) | HMO | 95185VA0510026 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Silver | 19072 | KP VA Silver 1350/30/Dental/Ped Dental (Signature) | HMO | 95185VA0500008 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Silver | 19073 | KP VA Silver 2250/30/Dental/Ped Dental (Signature) | HMO | 95185VA0500009 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Silver | 19074 | KP VA Silver 1350/30/Dental/Ped Dental (Signature) | HMO | 95185VA0510008 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Silver | 19075 | KP VA Silver 1350/30/Dental/Ped Dental (Select) | HMO | 95185VA0510022 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Silver | 19076 | KP VA Silver 2250/30/Dental/Ped Dental (Signature) | HMO | 95185VA0510009 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Silver | 19077 | KP VA Silver 2250/30/Dental/Ped Dental (Select) | HMO | 95185VA0510023 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Platinum | 19078 | KP VA Platinum 1350/20/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 95185VA0500003 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Silver | 19079 | KP VA Silver 4000/30/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 95185VA0500016 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Platinum | 19080 | KP VA Platinum 1350/20/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 95185VA0510003 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Platinum | 19081 | KP VA Platinum 1350/20/HSA/HRA/Dental/Ped Dental (Select) | HMO | 95185VA0510017 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Silver | 19082 | KP VA Silver 4000/30/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 95185VA0510031 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Silver | 19083 | KP VA Silver 4000/30/HSA/HRA/Dental/Ped Dental (Select) | HMO | 95185VA0510032 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19084 | KP VA Gold 1700/30/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 95185VA0500007 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19085 | KP VA Gold 1700/30/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 95185VA0510007 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19086 | KP VA Gold 1700/30/HSA/HRA/Dental/Ped Dental (Select) | HMO | 95185VA0510021 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Silver | 19087 | KP VA Silver 1500/30/HSA/Dental/Ped Dental (Signature) | HMO | 95185VA0500010 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Silver | 19088 | KP VA Silver 2500/30/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 95185VA0500011 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Silver | 19089 | KP VA Silver 1500/30/HSA/Dental/Ped Dental (Signature) | HMO | 95185VA0510010 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Silver | 19090 | KP VA Silver 1500/30/HSA/Dental/Ped Dental (Select) | HMO | 95185VA0510024 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Silver | 19091 | KP VA Silver 2500/30/HSA/HRA/Dental/Ped Dental (Signature) | HMO | 95185VA0510011 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Silver | 19092 | KP VA Silver 2500/30/HSA/HRA/Dental/Ped Dental (Select) | HMO | 95185VA0510025 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Bronze | 19093 | KP VA Bronze 6550/0%/HSA/Dental/Ped Dental (Signature) | HMO | 95185VA0500013 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19094 | KP VA Gold 1350/0%/HSA/Dental/Ped Dental (Signature) | HMO | 95185VA0500006 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Bronze | 19095 | KP VA Bronze 6550/0%/HSA/Dental/Ped Dental (Signature) | HMO | 95185VA0510013 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Bronze | 19096 | KP VA Bronze 6550/0%/HSA/Dental/Ped Dental (Select) | HMO | 95185VA0510027 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19097 | KP VA Gold 1350/0%/HSA/Dental/Ped Dental (Signature) | HMO | 95185VA0510006 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19098 | KP VA Gold 1350/0%/HSA/Dental/Ped Dental (Select) | HMO | 95185VA0510020 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Bronze | 19099 | KP VA Bronze 5750/50/40%/HSA/Dental/Ped Dental (Signature) | HMO | 95185VA0500014 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Bronze | 19100 | KP VA Bronze 5750/50/40%/HSA/Dental/Ped Dental (Signature) | HMO | 95185VA0510014 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Bronze | 19101 | KP VA Bronze 5750/50/40%/HSA/Dental/Ped Dental (Select) | HMO | 95185VA0510028 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19102 | KP VA Gold 0/20/POS/Dental/Ped Dental (Signature) | POS | 95185VA0520001 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19103 | KP VA Gold 0/20/POS/Dental/Ped Dental (Select) | POS | 95185VA0520004 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19104 | KP VA Gold 1000/30/POS/Dental/Ped Dental (Signature) | POS | 95185VA0520002 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19105 | KP VA Gold 1000/30/POS/Dental/Ped Dental (Select) | POS | 95185VA0520005 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Silver | 19106 | KP VA Silver 2250/30/POS/Dental/Ped Dental (Signature) | POS | 95185VA0520003 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Silver | 19107 | KP VA Silver 2250/30/POS/Dental/Ped Dental (Select) | POS | 95185VA0520006 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19108 | KP VA Gold 500/25/3TPOS/Dental/Ped Dental (Signature) | POS | 95185VA0520008 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Gold | 19109 | KP VA Gold 1250/25/3TPOS/Dental/Ped Dental (Signature) | POS | 95185VA0520007 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| VA | M | Silver | 19110 | KP VA Silver 2750/55/3TPOS/Dental/Ped Dental (Signature) | POS | 95185VA0520009 | OFF-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Platinum | 19111 | KP DC Platinum 0/20/Dental/Ped Dental (Signature) | HMO | 94506DC0350001 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Platinum | 19112 | KP DC Platinum 0/20/Dental/Ped Dental (SEL) (Select) | HMO | 94506DC0350016 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Platinum | 19113 | KP DC Platinum 500/20/Dental/Ped Dental (Signature) | HMO | 94506DC0350002 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Platinum | 19114 | KP DC Platinum 500/20/Dental/Ped Dental (SEL) (Select) | HMO | 94506DC0350017 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Gold | 19115 | KP DC Gold 0/20/Dental/Ped Dental (Signature) | HMO | 94506DC0350004 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Gold | 19116 | KP DC Gold 0/20/Dental/Ped Dental (SEL) (Select) | HMO | 94506DC0350018 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Gold | 19117 | KP DC Gold 500/20/Dental/Ped Dental (Signature) | HMO | 94506DC0350021 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Gold | 19118 | KP DC Gold 500/20/Dental/Ped Dental (SEL) (Select) | HMO | 94506DC0350022 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Gold | 19119 | KP DC Gold 1000/30/Dental/Ped Dental (Signature) | HMO | 94506DC0350005 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Gold | 19120 | KP DC Gold 1000/30/Dental/Ped Dental (SEL) (Select) | HMO | 94506DC0350019 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Silver | 19121 | KP DC Silver 1350/30/Dental/Ped Dental (Signature) | HMO | 94506DC0350008 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Silver | 19122 | KP DC Silver 2250/30/Dental/Ped Dental (Signature) | HMO | 94506DC0350009 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Silver | 19123 | KP DC Silver 1500/30/25%/HSA/Dental/Ped Dental (Signature) | HMO | 94506DC0350010 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Silver | 19124 | KP DC Silver 2500/30/20%/HSA/Dental/Ped Dental (Signature) | HMO | 94506DC0350011 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Gold | 19125 | KP DC Gold 1000/30/POS/Dental/Ped Dental (Signature) | POS | 94506DC0360003 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Silver | 19126 | KP DC Silver 2250/30/POS/Dental/Ped Dental (Signature) | POS | 94506DC0360002 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Bronze | 19127 | KP DC Bronze 5250/50/Dental/Ped Dental (Signature) | HMO | 94506DC0350012 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Bronze | 19128 | KP DC Bronze 5250/50/POS/Dental/Ped Dental (Signature) | POS | 94506DC0360001 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Gold | 19129 | KP DC Gold 1350/0%/HSA/Dental/Ped Dental (Signature) | HMO | 94506DC0350006 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Gold | 19130 | KP DC Gold 1350/0%/HSA/Dental/Ped Dental (SEL) (Select) | HMO | 94506DC0350020 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Gold | 19131 | KP DC Gold 1500/30/HSA/Dental/Ped Dental (Signature) | HMO | 94506DC0350007 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Bronze | 19132 | KP DC Bronze 6550/0%/HSA/Dental/Ped Dental (Signature) | HMO | 94506DC0350015 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| DC | M | Bronze | 19133 | KP DC Bronze 5750/50/40%/HSA/Dental/Ped Dental (Signature) | HMO | 94506DC0350014 | ON-SHOP |
Benefits
| 1/1/2017 | 12/31/2017 | KAI | |
| MD | M | Silver | 19150 | KP MD Silver 4000/30/HSA/Dental/Ped Dental (Signature) | HMO | 90296MD0590031 | OFF-SHOP |
Benefits
| 7/1/2017 | 12/31/2017 | KAI | |
| MD | M | Silver | 19151 | KP MD Silver 4000/30/HSA/Dental/Ped Dental (Select) | HMO | 90296MD0590032 | OFF-SHOP |
Benefits
| 7/1/2017 | 12/31/2017 | KAI | |
| MD | M | Platinum | 19500 | KP MD Platinum 0/10/Dental (SIG) | HMO | 90296MD0570001 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Platinum | 19501 | KP MD Platinum 500/20/Dental (SIG) | HMO | 90296MD0570002 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Platinum | 19502 | KP MD Platinum 0/10/Dental (SIG) | HMO | 90296MD0590001 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Platinum | 19503 | KP MD Platinum 500/20/Dental (SIG) | HMO | 90296MD0590002 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Platinum | 19504 | KP MD Platinum 0/10/Dental (SEL) | HMO | 90296MD0590015 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Platinum | 19505 | KP MD Platinum 500/20/Dental (SEL) | HMO | 90296MD0590016 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Gold | 19506 | KP MD Gold 0/20/Dental (SIG) | HMO | 90296MD0570004 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Gold | 19507 | KP MD Gold 1000/20/Dental (SIG) | HMO | 90296MD0570005 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Gold | 19508 | KP MD Gold 0/20/Dental (SIG) | HMO | 90296MD0590004 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Gold | 19509 | KP MD Gold 1000/20/Dental (SIG) | HMO | 90296MD0590005 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Gold | 19510 | KP MD Gold 0/20/Dental (SEL) | HMO | 90296MD0590018 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Gold | 19511 | KP MD Gold 1000/20/Dental (SEL) | HMO | 90296MD0590019 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Gold | 19512 | KP MD Gold 1400/0%/HSA/ Dental (SIG) | HMO | 90296MD0570006 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Gold | 19513 | KP MD Gold 1400/0%/HSA/Dental (SIG) | HMO | 90296MD0590006 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Gold | 19514 | KP MD Gold 1400/0%/HSA/Dental (SEL) | HMO | 90296MD0590020 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Silver | 19515 | KP MD Silver 1700/40/Dental (SIG) | HMO | 90296MD0570008 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Silver | 19516 | KP MD Silver 2500/40/Dental (SIG) | HMO | 90296MD0570009 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Silver | 19517 | KP MD Silver 1700/40/Dental (SIG) | HMO | 90296MD0590008 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Silver | 19518 | KP MD Silver 2500/40/Dental (SIG) | HMO | 90296MD0590009 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Silver | 19519 | KP MD Silver 1700/40/Dental (SEL) | HMO | 90296MD0590022 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Silver | 19520 | KP MD Silver 2500/40/Dental (SEL) | HMO | 90296MD0590023 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Silver | 19521 | KP MD Silver 1500/30/HSA/Dental (SIG) | HMO | 90296MD0570010 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Silver | 19522 | KP MD Silver 2500/30/HSA/Dental (SIG) | HMO | 90296MD0570011 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Silver | 19523 | KP MD Silver 1500/30/HSA/Dental (SIG) | HMO | 90296MD0590010 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Silver | 19524 | KP MD Silver 2500/30/HSA/Dental (SIG) | HMO | 90296MD0590011 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Silver | 19525 | KP MD Silver 1500/30/HSA/Dental (SEL) | HMO | 90296MD0590024 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Silver | 19526 | KP MD Silver 2500/30/HSA/Dental (SEL) | HMO | 90296MD0590025 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Bronze | 19527 | KP MD Bronze 5500/50/Dental (SIG) | HMO | 90296MD0570012 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Bronze | 19528 | KP MD Bronze 5500/50/Dental (SIG) | HMO | 90296MD0590012 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Bronze | 19529 | KP MD Bronze 5500/50/Dental (SEL) | HMO | 90296MD0590026 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Bronze | 19530 | KP MD Bronze 5750/30/20%/HSA/Dental (SIG) | HMO | 90296MD0570014 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Bronze | 19531 | KP MD Bronze 5750/30/20%/HSA/Dental (SIG) | HMO | 90296MD0590014 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Bronze | 19532 | KP MD Bronze 5750/30/20%/HSA/Dental (SEL) | HMO | 90296MD0590028 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Bronze | 19533 | KP MD Bronze 6550/0%/HSA/Dental (SIG) | HMO | 90296MD0570013 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Bronze | 19534 | KP MD Bronze 6550/0%/HSA/Dental (SIG) | HMO | 90296MD0590013 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Bronze | 19535 | KP MD Bronze 6550/0%/HSA/Dental (SEL) | HMO | 90296MD0590027 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Bronze | 19536 | KP MD Bronze 5500/50/POS/Dental (SIG) | POS | 90296MD0580001 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Bronze | 19537 | KP MD Bronze 5500/50/POS/Dental (SIG) | POS | 90296MD0600003 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Bronze | 19538 | KP MD Bronze 5500/50/POS/Dental (SEL) | POS | 90296MD0600004 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Gold | 19539 | KP MD Gold 500/20/Dental (SIG) | HMO | 90296MD0590029 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Gold | 19540 | KP MD Gold 1500/10/Dental (SIG) | HMO | 90296MD0590035 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Gold | 19541 | KP MD Gold 500/20/Dental (SEL) | HMO | 90296MD0590030 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Gold | 19542 | KP MD Gold 1500/10/Dental (SEL) | HMO | 90296MD0590036 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Silver | 19543 | KP MD Silver 4000/30/HSA/HRA/Dental (SIG) | HMO | 90296MD0590031 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Silver | 19544 | KP MD Silver 4000/30/HSA/HRA/Dental (SEL) | HMO | 90296MD0590032 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Gold | 19545 | KP MD Gold 1000/20/POS/Dental (SIG) | POS | 90296MD0600001 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Silver | 19546 | KP MD Silver 2500/40/POS/Dental (SIG) | POS | 90296MD0600002 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Gold | 19547 | KP MD Gold 1000/20/POS/Dental (SEL) | POS | 90296MD0600005 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| MD | M | Silver | 19548 | KP MD Silver 2500/40/POS/Dental (SEL) | POS | 90296MD0600006 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Gold | 19549 | KP MD Gold 0/20/3TPOS/Dental (SIG) | POS | 90296MD0600008 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Gold | 19550 | KP MD Gold 1000/20/3TPOS/Dental (SIG) | POS | 90296MD0600007 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| MD | M | Gold | 19551 | KP MD Gold 1400/0%/HSA/3TPOS/Dental (SIG) | POS | 90296MD0600010 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| VA | M | Platinum | 19552 | KP VA Platinum 0/15/Dental (SIG) | HMO | 95185VA0500001 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Platinum | 19553 | KP VA Platinum 500/20/Dental (SIG) | HMO | 95185VA0500002 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Platinum | 19554 | KP VA Platinum 0/15/Dental (SIG) | HMO | 95185VA0510001 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Platinum | 19555 | KP VA Platinum 500/20/Dental (SIG) | HMO | 95185VA0510002 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Platinum | 19556 | KP VA Platinum 0/15/Dental (SEL) | HMO | 95185VA0510015 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Platinum | 19557 | KP VA Platinum 500/20/Dental (SEL) | HMO | 95185VA0510016 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Gold | 19558 | KP VA Gold 0/20/Dental (SIG) | HMO | 95185VA0500004 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Gold | 19559 | KP VA Gold 500/20/Dental (SIG) | HMO | 95185VA0500015 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Gold | 19560 | KP VA Gold 0/20/Dental (SIG) | HMO | 95185VA0510004 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Gold | 19561 | KP VA Gold 500/20/Dental (SIG) | HMO | 95185VA0510029 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Gold | 19562 | KP VA Gold 0/20/Dental (SEL) | HMO | 95185VA0510018 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Gold | 19563 | KP VA Gold 500/20/Dental (SEL) | HMO | 95185VA0510030 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Gold | 19564 | KP VA Gold 1000/20/Dental (SIG) | HMO | 95185VA0500005 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Bronze | 19565 | KP VA Bronze 5500/50/Dental (SIG) | HMO | 95185VA0500012 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| VA | M | Gold | 19566 | KP VA Gold 1000/20/Dental (SIG) | HMO | 95185VA0510005 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Bronze | 19567 | KP VA Bronze 5500/50/Dental (SIG) | HMO | 95185VA0510012 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| VA | M | Gold | 19568 | KP VA Gold 1000/20/Dental (SEL) | HMO | 95185VA0510019 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Bronze | 19569 | KP VA Bronze 5500/50/Dental (SEL) | HMO | 95185VA0510026 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| VA | M | Silver | 19570 | KP VA Silver 1500/40/Dental (SIG) | HMO | 95185VA0500008 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| VA | M | Silver | 19571 | KP VA Silver 2500/30/Dental (SIG) | HMO | 95185VA0500009 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| VA | M | Silver | 19572 | KP VA Silver 1500/40/Dental (SIG) | HMO | 95185VA0510008 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| VA | M | Silver | 19573 | KP VA Silver 2500/30/Dental (SIG) | HMO | 95185VA0510009 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| VA | M | Silver | 19574 | KP VA Silver 1500/40/Dental (SEL) | HMO | 95185VA0510022 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| VA | M | Silver | 19575 | KP VA Silver 2500/30/Dental (SEL) | HMO | 95185VA0510023 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| VA | M | Gold | 19576 | KP VA Gold 1400/0%/HSA/ Dental (SIG) | HMO | 95185VA0500006 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Silver | 19577 | KP VA Silver 4000/0%/HSA/Dental (SIG) | HMO | 95185VA0500016 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Bronze | 19578 | KP VA Bronze 6550/0%/ HSA/Dental (SIG) | HMO | 95185VA0500013 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| VA | M | Gold | 19579 | KP VA Gold 1400/0%/HSA/ Dental (SIG) | HMO | 95185VA0510006 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Silver | 19580 | KP VA Silver 4000/0%/HSA/Dental (SIG) | HMO | 95185VA0510031 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Bronze | 19581 | KP VA Bronze 6550/0%/ HSA/Dental (SIG) | HMO | 95185VA0510013 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| VA | M | Gold | 19582 | KP VA Gold 1400/0%/HSA/ Dental (SEL) | HMO | 95185VA0510020 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Silver | 19583 | KP VA Silver 4000/0%/HSA/Dental (SEL) | HMO | 95185VA0510032 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Bronze | 19584 | KP VA Bronze 6550/0%/ HSA/Dental (SEL) | HMO | 95185VA0510027 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| VA | M | Silver | 19585 | KP VA Silver 1500/30/HSA/Dental (SIG) | HMO | 95185VA0500010 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| VA | M | Silver | 19586 | KP VA Silver 2500/30/HSA/Dental (SIG) | HMO | 95185VA0500011 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Silver | 19587 | KP VA Silver 1500/30/HSA/Dental (SIG) | HMO | 95185VA0510010 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| VA | M | Silver | 19588 | KP VA Silver 2500/30/HSA/Dental (SIG) | HMO | 95185VA0510011 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Silver | 19589 | KP VA Silver 1500/30/HSA/Dental (SEL) | HMO | 95185VA0510024 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| VA | M | Silver | 19590 | KP VA Silver 2500/30/HSA/Dental (SEL) | HMO | 95185VA0510025 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Bronze | 19591 | KP VA Bronze 5750/30/20%/HSA/Dental (SIG) | HMO | 95185VA0500014 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Bronze | 19592 | KP VA Bronze 5750/30/20%/HSA/Dental (SIG) | HMO | 95185VA0510014 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Bronze | 19593 | KP VA Bronze 5750/30/20%/HSA/Dental (SEL) | HMO | 95185VA0510028 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Gold | 19594 | KP VA Gold 1500/20/Dental (SIG) | HMO | 95185VA0510035 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Gold | 19595 | KP VA Gold 1500/20/Dental (SEL) | HMO | 95185VA0510036 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Gold | 19596 | KP VA Gold 0/20/POS/Dental (SIG) | POS | 95185VA0520001 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Gold | 19597 | KP VA Gold 1000/20/POS/Dental (SIG) | POS | 95185VA0520002 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Gold | 19598 | KP VA Gold 0/20/POS/Dental (SEL) | POS | 95185VA0520004 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Gold | 19599 | KP VA Gold 1000/20/POS/Dental (SEL) | POS | 95185VA0520005 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Silver | 19600 | KP VA Silver 2500/30/POS/Dental (SIG) | POS | 95185VA0520003 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| VA | M | Silver | 19601 | KP VA Silver 2500/30/POS/Dental (SEL) | POS | 95185VA0520006 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| VA | M | Gold | 19602 | KP VA Gold 500/20/3TPOS/Dental (SIG) | POS | 95185VA0520008 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Gold | 19603 | KP VA Gold 1000/20/3TPOS/Dental (SIG) | POS | 95185VA0520007 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| DC | M | Platinum | 19604 | KP DC Platinum 0/10/Dental (SIG) | HMO | 94506DC0350001 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| DC | M | Platinum | 19605 | KP DC Platinum 0/10/Dental (SEL) | HMO | 94506DC0350016 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| DC | M | Platinum | 19606 | KP DC Platinum 500/10/Dental (SIG) | HMO | 94506DC0350002 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| DC | M | Platinum | 19607 | KP DC Platinum 500/10/Dental (SEL) | HMO | 94506DC0350017 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| DC | M | Gold | 19608 | KP DC Gold 0/20/Dental (SIG) | HMO | 94506DC0350004 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| DC | M | Gold | 19609 | KP DC Gold 0/20/Dental (SEL) | HMO | 94506DC0350018 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| DC | M | Gold | 19610 | KP DC Gold 500/20/Dental (SIG) | HMO | 94506DC0350021 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| DC | M | Gold | 19611 | KP DC Gold 500/20/Dental (SEL) | HMO | 94506DC0350022 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| DC | M | Gold | 19612 | KP DC Gold 1000/20/Dental (SIG) | HMO | 94506DC0350005 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| DC | M | Gold | 19613 | KP DC Gold 1000/20/Dental (SEL) | HMO | 94506DC0350019 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| DC | M | Silver | 19614 | KP DC Silver 1700/40/Dental (SIG) | HMO | 94506DC0350008 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| DC | M | Silver | 19615 | KP DC Silver 2500/40/Dental (SIG) | HMO | 94506DC0350009 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| DC | M | Silver | 19616 | KP DC Silver 1500/30/25%/HSA/Dental (SIG) | HMO | 94506DC0350010 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| DC | M | Silver | 19617 | KP DC Silver 2500/30/0%/HSA/Dental (SIG) | HMO | 94506DC0350011 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| DC | M | Bronze | 19618 | KP DC Bronze 5500/50/Dental (SIG) | HMO | 94506DC0350012 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| DC | M | Gold | 19619 | KP DC Gold 1400/0%/HSA/Dental (SIG) | HMO | 94506DC0350006 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| DC | M | Gold | 19620 | KP DC Gold 1400/0%/HSA/Dental (SEL) | HMO | 94506DC0350020 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| DC | M | Bronze | 19621 | KP DC Bronze 6550/0%/HSA/Dental (SIG) | HMO | 94506DC0350015 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| DC | M | Gold | 19622 | KP DC Gold 1500/0/Dental (SIG) | HMO | 94506DC0350025 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| DC | M | Gold | 19623 | KP DC Gold 1500/0/Dental (SEL) | HMO | 94506DC0350028 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| DC | M | Gold | 19624 | KP DC Gold 1000/20/POS/Dental (SIG) | POS | 94506DC0360003 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| DC | M | Silver | 19625 | KP DC Silver 2500/40/POS/Dental (SIG) | POS | 94506DC0360002 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| DC | M | Bronze | 19626 | KP DC Bronze 5500/50/POS/Dental (SIG) | POS | 94506DC0360001 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | KAI | |
| DC | M | Bronze | 19627 | KP DC Bronze 5750/30/20%/HSA/Dental (SIG) | HMO | 94506DC0350014 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2019 | KAI | |
| VA | M | Platinum | 19631 | KP VA Platinum HMO Plus 0/15/Dental (SIG) | POS | 95185VA0510033 | OFF-SHOP |
Benefits
| 7/1/2018 | 12/31/2019 | KAI | |
| VA | M | Gold | 19632 | KP VA Gold HMO Plus 0/20/Dental (SIG) | POS | 95185VA0510034 | OFF-SHOP |
Benefits
| 7/1/2018 | 12/31/2019 | KAI | |
| VA | M | Gold | 19633 | KP VA Gold DHMO Plus1500/20/Dental (SIG) | POS | 95185VA0510037 | OFF-SHOP |
Benefits
| 7/1/2018 | 12/31/2019 | KAI | |
| VA | M | Silver | 19634 | KP VA Silver DHMO Plus 1500/40/Dental (SIG) | POS | 95185VA0510038 | OFF-SHOP |
Benefits
| 7/1/2018 | 12/31/2018 | KAI | |
| MD | M | Platinum | 19635 | KP MD Platinum HMO Plus 0/10/Dental (SIG) | POS | 90296MD0590033 | OFF-SHOP |
Benefits
| 7/1/2018 | 12/31/2019 | KAI | |
| MD | M | Gold | 19636 | KP MD Gold HMO Plus 0/20/Dental (SIG) | POS | 90296MD0590034 | OFF-SHOP |
Benefits
| 7/1/2018 | 12/31/2019 | KAI | |
| MD | M | Gold | 19637 | KP MD Gold DHMO Plus 1500/10/Dental (SIG) | POS | 90296MD0590037 | OFF-SHOP |
Benefits
| 7/1/2018 | 12/31/2018 | KAI | |
| MD | M | Silver | 19638 | KP MD Silver DHMO Plus1700/40/Dental (SIG) | POS | 90296MD0590038 | OFF-SHOP |
Benefits
| 7/1/2018 | 12/31/2018 | KAI | |
| DC | M | Bronze | 19700 | KP DC Bronze 5600/50/POS/Dental (SIG) | POS | 94506DC0360001 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| DC | M | Gold | 19701 | KP DC Gold 1700/0%/HSA/Dental (SIG) | HMO | 94506DC0350006 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| DC | M | Gold | 19702 | KP DC Gold 1700/0%/HSA/Dental (SEL) | HMO | 94506DC0350020 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| DC | M | Bronze | 19703 | KP DC Bronze 5600/50/Dental (SIG) | HMO | 94506DC0350012 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| DC | M | Silver | 19704 | KP DC Silver 2500/40/POS/Dental (SIG) | POS | 94506DC0360002 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| DC | M | Silver | 19705 | KP DC Silver 2000/40/Dental (SIG) | HMO | 94506DC0350008 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| DC | M | Silver | 19706 | KP DC Silver 2000/30/25%/HSA/Dental (SIG) | HMO | 94506DC0350010 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| DC | M | Gold | 19707 | KP DC Gold 1500/20/Dental (SIG) | HMO | 94506DC0350025 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| DC | M | Gold | 19708 | KP DC Gold 1500/20/Dental (SEL) | HMO | 94506DC0350028 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| DC | M | Gold | 19709 | KP DC Gold DHMO Plus 1500/20/Dental (SIG) | POS | 94506DC0350026 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| DC | M | Silver | 19710 | KP DC Silver DHMO Plus 2000/40/Dental (SIG) | POS | 94506DC0350027 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| DC | M | Platinum | 19711 | KP DC Platinum HMO Plus 0/10/Dental (SIG) | POS | 94506DC0350023 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| DC | M | Gold | 19712 | KP DC Gold HMO Plus 0/20/Dental (SIG) | POS | 94506DC0350024 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| VA | M | Silver | 19713 | KP VA Silver DHMO Plus 1600/40/Dental (SIG) | POS | 95185VA0510038 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| VA | M | Silver | 19714 | KP VA Silver 2750/30/POS/Dental (SIG) | POS | 95185VA0520003 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| VA | M | Silver | 19715 | KP VA Silver 2750/30/POS/Dental (SEL) | POS | 95185VA0520006 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| VA | M | Silver | 19716 | KP VA Silver 2750/30/Dental (SIG) | HMO | 95185VA0500009 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| VA | M | Silver | 19717 | KP VA Silver 2750/30/Dental (SIG) | HMO | 95185VA0510009 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| VA | M | Silver | 19718 | KP VA Silver 2750/30/Dental (SEL) | HMO | 95185VA0510023 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| VA | M | Silver | 19719 | KP VA Silver 1600/40/Dental (SIG) | HMO | 95185VA0500008 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| VA | M | Silver | 19720 | KP VA Silver 1600/40/Dental (SIG) | HMO | 95185VA0510008 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| VA | M | Silver | 19721 | KP VA Silver 1600/40/Dental (SEL) | HMO | 95185VA0510022 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| VA | M | Silver | 19722 | KP VA Silver 2000/30/HSA/Dental (SIG) | HMO | 95185VA0500010 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| VA | M | Silver | 19723 | KP VA Silver 2000/30/HSA/Dental (SIG) | HMO | 95185VA0510010 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| VA | M | Silver | 19724 | KP VA Silver 2000/30/HSA/Dental (SEL) | HMO | 95185VA0510024 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| VA | M | Bronze | 19725 | KP VA Bronze 6650/0%/ HSA/Dental (SIG) | HMO | 95185VA0500013 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| VA | M | Bronze | 19726 | KP VA Bronze 6650/0%/ HSA/Dental (SIG) | HMO | 95185VA0510013 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| VA | M | Bronze | 19727 | KP VA Bronze 6650/0%/ HSA/Dental (SEL) | HMO | 95185VA0510027 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| VA | M | Bronze | 19728 | KP VA Bronze 5600/50/Dental (SIG) | HMO | 95185VA0500012 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| VA | M | Bronze | 19729 | KP VA Bronze 5600/50/Dental (SIG) | HMO | 95185VA0510012 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| VA | M | Bronze | 19730 | KP VA Bronze 5600/50/Dental (SEL) | HMO | 95185VA0510026 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Silver | 19731 | KP MD Silver DHMO Plus 2000/40/Dental (SIG) | POS | 90296MD0590038 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Silver | 19732 | KP MD Silver 2000/40/Dental (SIG) | HMO | 90296MD0570008 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Silver | 19733 | KP MD Silver 2000/40/Dental (SIG) | HMO | 90296MD0590008 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Silver | 19734 | KP MD Silver 2000/40/Dental (SEL) | HMO | 90296MD0590022 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Silver | 19735 | KP MD Silver 2000/30/HSA/Dental (SIG) | HMO | 90296MD0570010 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Silver | 19736 | KP MD Silver 2000/30/HSA/Dental (SIG) | HMO | 90296MD0590010 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Silver | 19737 | KP MD Silver 2000/30/HSA/Dental (SEL) | HMO | 90296MD0590024 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Gold | 19738 | KP MD Gold 500/20/Dental (SIG) | HMO | 90296MD0590029 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Gold | 19739 | KP MD Gold 500/20/Dental (SEL) | HMO | 90296MD0590030 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Gold | 19740 | KP MD Gold DHMO Plus 1500/20/Dental (SIG) | POS | 90296MD0590037 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Gold | 19741 | KP MD Gold 1000/20/POS/Dental (SIG) | POS | 90296MD0600001 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Gold | 19742 | KP MD Gold 1000/20/POS/Dental (SEL) | POS | 90296MD0600005 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Bronze | 19743 | KP MD Bronze 5600/50/Dental (SIG) | HMO | 90296MD0570012 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Bronze | 19744 | KP MD Bronze 5600/50/Dental (SIG) | HMO | 90296MD0590012 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Bronze | 19745 | KP MD Bronze 5600/50/Dental (SEL) | HMO | 90296MD0590026 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Bronze | 19746 | KP MD Bronze 5600/50/POS/Dental (SIG) | POS | 90296MD0580001 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Bronze | 19747 | KP MD Bronze 5600/50/POS/Dental (SIG) | POS | 90296MD0600003 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Bronze | 19748 | KP MD Bronze 5600/50/POS/Dental (SEL) | POS | 90296MD0600004 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Gold | 19749 | KP MD Gold 1000/20/Dental (SIG) | HMO | 90296MD0570005 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Gold | 19750 | KP MD Gold 1000/20/Dental (SIG) | HMO | 90296MD0590005 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Gold | 19751 | KP MD Gold 1000/20/Dental (SEL) | HMO | 90296MD0590019 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Bronze | 19752 | KP MD Bronze 6650/0%/HSA/Dental (SIG) | HMO | 90296MD0570013 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Bronze | 19753 | KP MD Bronze 6650/0%/HSA/Dental (SIG) | HMO | 90296MD0590013 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Bronze | 19754 | KP MD Bronze 6650/0%/HSA/Dental (SEL) | HMO | 90296MD0590027 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Gold | 19800 | KP MD Gold 1500/20/Dental (SIG) | HMO | 90296MD0590035 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Gold | 19801 | KP MD Gold 1500/20/Dental (SEL) | HMO | 90296MD0590036 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Gold | 19802 | KP MD Gold 1400A/0%/HSA/3TPOS/Dental (SIG) | POS | 90296MD0600010 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | KAI | |
| MD | M | Platinum | 19850 | KP MD Platinum 0/10/Dental (SIG) | HMO | 90296MD0570001 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Platinum | 19851 | KP MD Platinum 500/20/Dental (SIG) | HMO | 90296MD0570002 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Platinum | 19852 | KP MD Platinum 0/10/Dental (SIG) | HMO | 90296MD0590001 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Platinum | 19853 | KP MD Platinum 0/10/Dental (SEL) | HMO | 90296MD0590015 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Platinum | 19854 | KP MD Platinum 500/20/Dental (SIG) | HMO | 90296MD0590002 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Platinum | 19855 | KP MD Platinum 500/20/Dental (SEL) | HMO | 90296MD0590016 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19856 | KP MD Gold 0/20/Dental (SIG) | HMO | 90296MD0570004 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19857 | KP MD Gold 1000/20/Dental (SIG) | HMO | 90296MD0570005 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19858 | KP MD Gold 0/20/Dental (SIG) | HMO | 90296MD0590004 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19859 | KP MD Gold 0/20/Dental (SEL) | HMO | 90296MD0590018 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19860 | KP MD Gold 1000/20/Dental (SIG) | HMO | 90296MD0590005 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19861 | KP MD Gold 1000/20/Dental (SEL) | HMO | 90296MD0590019 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19862 | KP MD Gold 1400/0%/HSA/Dental (SIG) | HMO | 90296MD0570006 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Bronze | 19863 | KP MD Bronze 6650/0%/HSA/Dental (SIG) | HMO | 90296MD0570013 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19864 | KP MD Gold 1400/0%/HSA/Dental (SIG) | HMO | 90296MD0590006 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19865 | KP MD Gold 1400/0%/HSA/Dental (SEL) | HMO | 90296MD0590020 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Bronze | 19866 | KP MD Bronze 6650/0%/HSA/Dental (SIG) | HMO | 90296MD0590013 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Bronze | 19867 | KP MD Bronze 6650/0%/HSA/Dental (SEL) | HMO | 90296MD0590027 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Silver | 19868 | KP MD Silver 2300/40/Dental (SIG) | HMO | 90296MD0570008 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Silver | 19869 | KP MD Silver 2300/40/Dental (SIG) | HMO | 90296MD0590008 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Silver | 19870 | KP MD Silver 2300/40/Dental (SEL) | HMO | 90296MD0590022 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Silver | 19871 | KP MD Silver 2500/40/Dental (SIG) | HMO | 90296MD0570009 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Silver | 19872 | KP MD Silver 2500/40/Dental (SIG) | HMO | 90296MD0590009 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Silver | 19873 | KP MD Silver 2500/40/Dental (SEL) | HMO | 90296MD0590023 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Silver | 19874 | KP MD Silver 2000/30/HSA/Dental (SIG) | HMO | 90296MD0570010 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Silver | 19875 | KP MD Silver 3000/30/HSA/Dental (SIG) | HMO | 90296MD0570011 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Bronze | 19876 | KP MD Bronze 5750/30/20%/HSA/Dental (SIG) | HMO | 90296MD0570014 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Silver | 19877 | KP MD Silver 2000/30/HSA/Dental (SIG) | HMO | 90296MD0590010 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Silver | 19878 | KP MD Silver 2000/30/HSA/Dental (SEL) | HMO | 90296MD0590024 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Silver | 19879 | KP MD Silver 3000/30/HSA/Dental (SIG) | HMO | 90296MD0590011 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Silver | 19880 | KP MD Silver 3000/30/HSA/Dental (SEL) | HMO | 90296MD0590025 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Bronze | 19881 | KP MD Bronze 5750/30/20%/HSA/Dental (SIG) | HMO | 90296MD0590014 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Bronze | 19882 | KP MD Bronze 5750/30/20%/HSA/Dental (SEL) | HMO | 90296MD0590028 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Bronze | 19883 | KP MD Bronze 6150/50/Dental (SIG) | HMO | 90296MD0570012 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Bronze | 19884 | KP MD Bronze 6150/50/Dental (SIG) | HMO | 90296MD0590012 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Bronze | 19885 | KP MD Bronze 6150/50/Dental (SEL) | HMO | 90296MD0590026 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19886 | KP MD Gold 500/20/Dental (SIG) | HMO | 90296MD0590029 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19887 | KP MD Gold 500/20/Dental (SEL) | HMO | 90296MD0590030 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19888 | KP MD Gold 1500/20/Dental (SIG) | HMO | 90296MD0590035 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19889 | KP MD Gold 1500/20/Dental (SEL) | HMO | 90296MD0590036 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Silver | 19890 | KP MD Silver 4000/30/HSA/Dental (SIG) | HMO | 90296MD0590031 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Silver | 19891 | KP MD Silver 4000/30/HSA/Dental (SEL) | HMO | 90296MD0590032 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19892 | KP MD Gold 1000/20/POS/Dental (SIG) | POS | 90296MD0600001 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19893 | KP MD Gold 1000/20/POS/Dental (SEL) | POS | 90296MD0600005 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Silver | 19894 | KP MD Silver 2500/40/POS/Dental (SIG) | POS | 90296MD0600002 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Silver | 19895 | KP MD Silver 2500/40/POS/Dental (SEL) | POS | 90296MD0600006 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Bronze | 19896 | KP MD Bronze 6150/50/POS/Dental (SIG) | POS | 90296MD0580001 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Bronze | 19897 | KP MD Bronze 6150/50/POS/Dental (SIG) | POS | 90296MD0600003 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Bronze | 19898 | KP MD Bronze 6150/50/POS/Dental (SEL) | POS | 90296MD0600004 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19899 | KP MD Gold 0/20/3TPOS/Dental (SIG) | POS | 90296MD0600008 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19900 | KP MD Gold 1000/20/3TPOS/Dental (SIG) | POS | 90296MD0600007 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19901 | KP MD Gold 1400/0%/HDHP/3TPOS/Dental (SIG) | POS | 90296MD0600011 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19902 | KP MD Gold 1400A/0%/HSA/3TPOS/Dental (SIG) | POS | 90296MD0600012 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Platinum | 19903 | KP MD Platinum HMO Plus 0/10/Dental (SIG) | POS | 90296MD0590033 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19904 | KP MD Gold HMO Plus 0/20/Dental (SIG) | POS | 90296MD0590034 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Gold | 19905 | KP MD Gold DHMO Plus 1500/20/Dental (SIG) | POS | 90296MD0590037 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| MD | M | Silver | 19906 | KP MD Silver DHMO Plus 2300/40/Dental (SIG) | POS | 90296MD0590038 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Platinum | 19907 | KP DC Platinum 0/10/Dental (SIG) | HMO | 94506DC0350001 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Platinum | 19908 | KP DC Platinum 0/10/Dental (SEL) | HMO | 94506DC0350016 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Gold | 19909 | KP DC Gold 0/20/Dental (SIG) | HMO | 94506DC0350004 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Gold | 19910 | KP DC Gold 0/20/Dental (SEL) | HMO | 94506DC0350018 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Platinum | 19911 | KP DC Platinum 500/10/Dental (SIG) | HMO | 94506DC0350002 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Platinum | 19912 | KP DC Platinum 500/10/Dental (SEL) | HMO | 94506DC0350017 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Gold | 19913 | KP DC Gold 500/20/Dental (SIG) | HMO | 94506DC0350021 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Gold | 19914 | KP DC Gold 500/20/Dental (SEL) | HMO | 94506DC0350022 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Gold | 19915 | KP DC Gold 1000/20/Dental (SIG) | HMO | 94506DC0350005 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Gold | 19916 | KP DC Gold 1000/20/Dental (SEL) | HMO | 94506DC0350019 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Gold | 19917 | KP DC Gold 1500/20/Dental (SIG) | HMO | 94506DC0350025 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Gold | 19918 | KP DC Gold 1500/20/Dental (SEL) | HMO | 94506DC0350028 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Silver | 19919 | KP DC Silver 2000/40/Dental (SIG) | HMO | 94506DC0350008 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Silver | 19920 | KP DC Silver 2500/40/Dental (SIG) | HMO | 94506DC0350009 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Silver | 19921 | KP DC Silver 2000/30/0%/HSA/Dental (SIG) | HMO | 94506DC0350010 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Silver | 19922 | KP DC Silver 2500/30/0%/HSA/Dental (SIG) | HMO | 94506DC0350011 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Gold | 19923 | KP DC Gold 1700/0%/HSA/Dental (SIG) | HMO | 94506DC0350006 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Gold | 19924 | KP DC Gold 1700/0%/HSA/Dental (SEL) | HMO | 94506DC0350020 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Bronze | 19925 | KP DC Bronze 6550/0%/HSA/Dental (SIG) | HMO | 94506DC0350015 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Bronze | 19926 | KP DC Bronze 6150/50/Dental (SIG) | HMO | 94506DC0350012 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Gold | 19927 | KP DC Gold 1000/20/POS/Dental (SIG) | POS | 94506DC0360003 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Silver | 19928 | KP DC Silver 2500/40/POS/Dental (SIG) | POS | 94506DC0360002 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Bronze | 19929 | KP DC Bronze 5750/30/20%/HSA/Dental (SIG) | HMO | 94506DC0350014 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Platinum | 19930 | KP DC Platinum HMO Plus 0/10/Dental (SIG) | POS | 94506DC0350023 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Gold | 19931 | KP DC Gold HMO Plus 0/20/Dental (SIG) | POS | 94506DC0350024 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Gold | 19932 | KP DC Gold DHMO Plus 1500/20/Dental (SIG) | POS | 94506DC0350026 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Silver | 19933 | KP DC Silver DHMO Plus 2000/40/Dental (SIG) | POS | 94506DC0350027 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| DC | M | Bronze | 19934 | KP DC Bronze 6150/50/POS/Dental (SIG) | POS | 94506DC0360001 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Platinum | 19935 | KP VA Platinum 0/15/Dental (SIG) | HMO | 95185VA0500001 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Platinum | 19936 | KP VA Platinum 500/20/Dental (SIG) | HMO | 95185VA0500002 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Platinum | 19937 | KP VA Platinum 0/15/Dental (SIG) | HMO | 95185VA0510001 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Platinum | 19938 | KP VA Platinum 0/15/Dental (SEL) | HMO | 95185VA0510015 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Platinum | 19939 | KP VA Platinum 500/20/Dental (SIG) | HMO | 95185VA0510002 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Platinum | 19940 | KP VA Platinum 500/20/Dental (SEL) | HMO | 95185VA0510016 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19941 | KP VA Gold 0/20/Dental (SIG) | HMO | 95185VA0500004 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19942 | KP VA Gold 500/20/Dental (SIG) | HMO | 95185VA0500015 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19943 | KP VA Gold 1000/20/Dental (SIG) | HMO | 95185VA0500005 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19944 | KP VA Gold 0/20/Dental (SIG) | HMO | 95185VA0510004 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19945 | KP VA Gold 0/20/Dental (SEL) | HMO | 95185VA0510018 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19946 | KP VA Gold 500/20/Dental (SIG) | HMO | 95185VA0510029 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19947 | KP VA Gold 500/20/Dental (SEL) | HMO | 95185VA0510030 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19948 | KP VA Gold 1000/20/Dental (SIG) | HMO | 95185VA0510005 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19949 | KP VA Gold 1000/20/Dental (SEL) | HMO | 95185VA0510019 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Silver | 19950 | KP VA Silver 2000/40/Dental (SIG) | HMO | 95185VA0500008 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Silver | 19951 | KP VA Silver 2000/40/Dental (SIG) | HMO | 95185VA0510008 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Silver | 19952 | KP VA Silver 2000/40/Dental (SEL) | HMO | 95185VA0510022 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Silver | 19953 | KP VA Silver 2750/30/Dental (SIG) | HMO | 95185VA0500009 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Silver | 19954 | KP VA Silver 2750/30/Dental (SIG) | HMO | 95185VA0510009 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Silver | 19955 | KP VA Silver 2750/30/Dental (SEL) | HMO | 95185VA0510023 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19956 | KP VA Gold 1400/0%/HSA/Dental (SIG) | HMO | 95185VA0500006 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Silver | 19957 | KP VA Silver 4000/0%/HSA/Dental (SIG) | HMO | 95185VA0500016 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19958 | KP VA Gold 1400/0%/HSA/Dental (SIG) | HMO | 95185VA0510006 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19959 | KP VA Gold 1400/0%/HSA/Dental (SEL) | HMO | 95185VA0510020 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Silver | 19960 | KP VA Silver 4000/0%/HSA/Dental (SIG) | HMO | 95185VA0510031 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Silver | 19961 | KP VA Silver 4000/0%/HSA/Dental (SEL) | HMO | 95185VA0510032 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Silver | 19962 | KP VA Silver 2000/30/HSA/Dental (SIG) | HMO | 95185VA0500010 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Silver | 19963 | KP VA Silver 3000/30/HSA/Dental (SIG) | HMO | 95185VA0500011 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Silver | 19964 | KP VA Silver 2000/30/HSA/Dental (SIG) | HMO | 95185VA0510010 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Silver | 19965 | KP VA Silver 2000/30/HSA/Dental (SEL) | HMO | 95185VA0510024 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Silver | 19966 | KP VA Silver 3000/30/HSA/Dental (SIG) | HMO | 95185VA0510011 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Silver | 19967 | KP VA Silver 3000/30/HSA/Dental (SEL) | HMO | 95185VA0510025 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Bronze | 19968 | KP VA Bronze 6000/50/Dental (SIG) | HMO | 95185VA0500012 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Bronze | 19969 | KP VA Bronze 6000/50/Dental (SIG) | HMO | 95185VA0510012 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Bronze | 19970 | KP VA Bronze 6000/50/Dental (SEL) | HMO | 95185VA0510026 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Bronze | 19971 | KP VA Bronze 5750/30/20%/HSA/Dental (SIG) | HMO | 95185VA0500014 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Bronze | 19972 | KP VA Bronze 5750/30/20%/HSA/Dental (SIG) | HMO | 95185VA0510014 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Bronze | 19973 | KP VA Bronze 5750/30/20%/HSA/Dental (SEL) | HMO | 95185VA0510028 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Bronze | 19974 | KP VA Bronze 6650/0%/HSA/Dental (SIG) | HMO | 95185VA0500013 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Bronze | 19975 | KP VA Bronze 6650/0%/HSA/Dental (SIG) | HMO | 95185VA0510013 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Bronze | 19976 | KP VA Bronze 6650/0%/HSA/Dental (SEL) | HMO | 95185VA0510027 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19977 | KP VA Gold 1500/20/Dental (SIG) | HMO | 95185VA0510035 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19978 | KP VA Gold 1500/20/Dental (SEL) | HMO | 95185VA0510036 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Platinum | 19979 | KP VA Platinum HMO Plus 0/15/Dental (SIG) | POS | 95185VA0510033 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19980 | KP VA Gold HMO Plus 0/20/Dental (SIG) | POS | 95185VA0510034 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19981 | KP VA Gold DHMO Plus 1500/20/Dental (SIG) | POS | 95185VA0510037 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Silver | 19982 | KP VA Silver DHMO Plus 2000/40/Dental (SIG) | POS | 95185VA0510038 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Bronze | 19983 | KP VA Bronze DHMO Plus 6000/50/Dental (SIG) | POS | 95185VA0510039 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19984 | KP VA Gold 0/20/POS/Dental (SIG) | POS | 95185VA0520001 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19985 | KP VA Gold 0/20/POS/Dental (SEL) | POS | 95185VA0520004 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19986 | KP VA Gold 1000/20/POS/Dental (SIG) | POS | 95185VA0520002 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19987 | KP VA Gold 1000/20/POS/Dental (SEL) | POS | 95185VA0520005 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Silver | 19988 | KP VA Silver 2750/30/POS/Dental (SIG) | POS | 95185VA0520003 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Silver | 19989 | KP VA Silver 2750/30/POS/Dental (SEL) | POS | 95185VA0520006 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19990 | KP VA Gold 500/20/3TPOS/Dental (SIG) | POS | 95185VA0520008 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 19991 | KP VA Gold 1000/30/3TPOS/Dental (SIG) | POS | 95185VA0520007 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | KAI | |
| VA | M | Gold | 20000 | HealthyBlue Advantage Gold Plan - $1,500 | POS | 100023170 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20001 | HealthyBlue Advantage HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100023172 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20002 | HealthyBlue Advantage Platinum Plan - $500 | POS | 100023176 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20003 | HealthyBlue Advantage HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100022962 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20004 | HealthyBlue Advantage HRA Non-Integrated Compatible Platinum Plan - $1,000 | POS | 100022966 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20005 | HealthyBlue Advantage HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100023171 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20006 | HealthyBlue Advantage HRA Non-Integrated BlueFund Platinum Plan - $1,000 | POS | 100023174 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20007 | HealthyBlue Advantage HRA Non-Integrated Compatible Platinum Plan - $1,000 | POS | 100023175 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20008 | HealthyBlue Advantage Platinum Plan - $500 | POS | 100022968 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20009 | HealthyBlue Advantage HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100022963 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20010 | HealthyBlue Advantage Platinum Plan - $1,000 | POS | 100022964 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20011 | HealthyBlue Advantage Platinum Plan - $1,000 | POS | 100023173 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20012 | HealthyBlue Advantage Gold Plan - $1,500 | POS | 100022961 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20013 | HealthyBlue Advantage HRA Non-Integrated BlueFund Platinum Plan - $1,000 | POS | 100022965 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Gold | 20014 | HealthyBlue Advantage HRA Gold Plan - $1,500 | POS | 100022654 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Platinum | 20015 | HealthyBlue Advantage Platinum Plan - $500 | POS | 100022656 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Platinum | 20016 | HealthyBlue Advantage Platinum Plan - $1,000 | POS | 100022655 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20017 | HealthyBlue HMO Platinum Plan - $1,000 | HMO | 100022977 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20018 | HealthyBlue HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100023183 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20019 | HealthyBlue HMO Platinum Plan - $500 | HMO | 100023188 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20020 | HealthyBlue HMO Platinum Plan - $500 | HMO | 100022980 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20021 | HealthyBlue HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100023184 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20022 | HealthyBlue HMO Gold Plan - $1,500 | HMO | 100022974 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20023 | HealthyBlue HMO HRA Non-Integrated Compatible Platinum Plan - $1,000 | HMO | 100022979 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20024 | HealthyBlue HMO HRA Non-Integrated BlueFund Platinum Plan - $1,000 | HMO | 100023186 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20025 | HealthyBlue HMO HRA Non-Integrated Compatible Platinum Plan - $1,000 | HMO | 100023187 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20026 | HealthyBlue HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100022976 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20027 | HealthyBlue HMO HRA Non-Integrated BlueFund Platinum Plan - $1,000 | HMO | 100022978 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20028 | HealthyBlue HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100022975 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20029 | HealthyBlue HMO Gold Plan - $1,500 | HMO | 100023182 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20030 | HealthyBlue HMO Platinum Plan - $1,000 | HMO | 100023185 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Platinum | 20031 | HealthyBlue HMO Platinum Plan - $1,000 | HMO | 100022662 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Gold | 20032 | HealthyBlue HMO HRA Gold Plan - $1,500 | HMO | 100022661 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Platinum | 20033 | HealthyBlue HMO Platinum Plan - $500 | HMO | 100022663 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20034 | HealthyBlue Plus HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100022939 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20035 | HealthyBlue Plus Platinum Plan - $1,000 | POS | 100022940 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20036 | HealthyBlue Plus HRA Non-Integrated Compatible Platinum Plan - $1,000 | POS | 100022942 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20037 | HealthyBlue Plus HRA Non-Integrated BlueFund Platinum Plan - $1,000 | POS | 100023162 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20038 | HealthyBlue Plus HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100023159 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20039 | HealthyBlue Plus Gold Plan - $1,500 | POS | 100022937 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20040 | HealthyBlue Plus Platinum Plan - $500 | POS | 100022944 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20041 | HealthyBlue Plus Gold Plan - $1,500 | POS | 100023158 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20042 | HealthyBlue Plus HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100023160 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20043 | HealthyBlue Plus Platinum Plan - $1,000 | POS | 100023161 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20044 | HealthyBlue Plus HRA Non-Integrated BlueFund Platinum Plan - $1,000 | POS | 100022941 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20045 | HealthyBlue Plus HRA Non-Integrated Compatible Platinum Plan - $1,000 | POS | 100023163 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20046 | HealthyBlue Plus Platinum Plan - $500 | POS | 100023164 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20047 | HealthyBlue Plus HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100022938 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Platinum | 20048 | HealthyBlue Plus Platinum Plan - $1,000 | POS | 100022648 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Gold | 20049 | HealthyBlue Plus HRA Gold Plan - $1,500 | POS | 100022647 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Platinum | 20050 | HealthyBlue Plus Platinum Plan - $500 | POS | 100022649 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20051 | HealthyBlue PPO Gold Plan - $1,500 | PPO | 100022999 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20052 | HealthyBlue PPO HRA Non-Integrated BlueFund Platinum Plan - $1,000 | PPO | 100023002 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20053 | HealthyBlue PPO HRA Non-Integrated Compatible Platinum Plan - $1,000 | PPO | 100023001 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20054 | HealthyBlue PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100022998 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20055 | HealthyBlue PPO HRA Non-Integrated Compatible Platinum Plan - $1,000 | PPO | 100023198 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20056 | HealthyBlue PPO Platinum Plan - $1,000 | PPO | 100023000 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20057 | HealthyBlue PPO Platinum Plan - $500 | PPO | 100023200 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20058 | HealthyBlue PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100022997 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20059 | HealthyBlue PPO Platinum Plan - $500 | PPO | 100023004 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20060 | HealthyBlue PPO Gold Plan - $1,500 | PPO | 100023196 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20061 | HealthyBlue PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100023194 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20062 | HealthyBlue PPO HRA Non-Integrated BlueFund Platinum Plan - $1,000 | PPO | 100023199 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20063 | HealthyBlue PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100023195 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20064 | HealthyBlue PPO Platinum Plan - $1,000 | PPO | 100023197 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Gold | 20065 | HealthyBlue PPO HRA Gold Plan - $1,500 | PPO | 100022668 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Platinum | 20066 | HealthyBlue PPO Platinum Plan - $500 | PPO | 100022670 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Platinum | 20067 | HealthyBlue PPO Platinum Plan - $1,000 | PPO | 100022669 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20068 | BlueChoice Advantage HSA BlueFund Silver Plan - $4,000 | POS | 100022726 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20069 | BlueChoice Advantage HDHP Silver Plan - $4,000 | POS | 100023028 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20070 | BlueChoice Advantage Platinum Plan | POS | 100022736 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20071 | BlueChoice Advantage HRA Non-Integrated BlueFund Silver Plan - $4,000 | POS | 100023029 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20072 | BlueChoice Advantage Silver Plan - $4,000 | POS | 100022725 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20073 | BlueChoice Advantage HRA Non-Integrated Compatible Silver Plan - $4,000 | POS | 100023030 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20074 | BlueChoice Advantage HRA Non-Integrated BlueFund Silver Plan - $4,000 | POS | 100022728 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20075 | BlueChoice Advantage HSA Compatible Silver Plan - $4,000 | POS | 100022727 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20076 | BlueChoice Advantage HRA Non-Integrated Compatible Silver Plan - $4,000 | POS | 100022729 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20077 | BlueChoice Advantage Platinum Plan | POS | 100023037 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Platinum | 20078 | BlueChoice Advantage Platinum Plan | POS | 100022576 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20079 | BlueChoice HMO Referral HSA BlueFund Silver Plan - $4,000 | HMO | 100022750 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20080 | BlueChoice HMO Referral Platinum Plan | HMO | 100022799 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20081 | BlueChoice HMO Referral HRA Non-Integrated Compatible Platinum Plan - $1,000 | HMO | 100023052 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20082 | BlueChoice HMO Referral HSA Compatible Silver Plan - $4,000 | HMO | 100022751 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20083 | BlueChoice HMO Referral HDHP Silver Plan - $4,000 | HMO | 100023044 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20084 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Silver Plan - $4,000 | HMO | 100023045 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20085 | BlueChoice HMO Referral 80 HRA Non-Integrated BlueFund Gold Plan - $1,000 | HMO | 100023048 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20086 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Silver Plan - $4,000 | HMO | 100022752 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20087 | BlueChoice HMO Referral 80 HRA Non-Integrated BlueFund Gold Plan - $1,000 | HMO | 100022755 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20088 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Platinum Plan - $1,000 | HMO | 100022758 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20089 | BlueChoice HMO Referral 80 HRA Non-Integrated Compatible Gold Plan - $1,000 | HMO | 100023049 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20090 | BlueChoice HMO Referral Platinum Plan - $1,000 | HMO | 100023050 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20091 | BlueChoice HMO Referral HRA Non-Integrated Compatible Silver Plan - $4,000 | HMO | 100022753 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20092 | BlueChoice HMO Referral Platinum Plan - $1,000 | HMO | 100022757 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20093 | BlueChoice HMO Referral HRA Non-Integrated Compatible Silver Plan - $4,000 | HMO | 100023046 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20094 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Platinum Plan - $1,000 | HMO | 100023051 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20095 | BlueChoice HMO Referral Gold Plan | HMO | 100023090 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20096 | BlueChoice HMO Referral 80 HRA Non-Integrated Compatible Gold Plan - $1,000 | HMO | 100022756 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20097 | BlueChoice HMO Platinum Plan | HMO | 100022761 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20098 | BlueChoice HMO Platinum Plan | HMO | 100023054 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20099 | BlueChoice HMO Referral HRA Non-Integrated Compatible Platinum Plan - $1,000 | HMO | 100022759 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20100 | BlueChoice HMO Referral Gold Plan | HMO | 100022797 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20101 | BlueChoice HMO Referral HDHP Silver Plan - $4,000 | HMO | 100022749 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20102 | BlueChoice HMO Referral 80 Gold Plan - $1,000 | HMO | 100022754 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20103 | BlueChoice HMO Referral 80 Gold Plan - $1,000 | HMO | 100023047 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20104 | BlueChoice HMO Referral Platinum Plan | HMO | 100023092 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20105 | BlueChoice HMO Referral HDHP/HRA Silver Plan - $4,000 | HMO | 100022579 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Gold | 20106 | BlueChoice HMO Referral 80 Gold Plan - $1,000 | HMO | 100022580 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Platinum | 20107 | BlueChoice HMO Referral Platinum Plan - $1,000 | HMO | 100022581 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Gold | 20108 | BlueChoice HMO Referral Gold Plan | HMO | 100022605 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Platinum | 20109 | BlueChoice HMO Platinum Plan | HMO | 100022583 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Platinum | 20110 | BlueChoice HMO Referral Platinum Plan | HMO | 100022606 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20111 | BlueChoice Plus Opt-Out Platinum Plan | POS | 100022882 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20112 | BlueChoice Plus Opt-Out Platinum Plan | POS | 100023133 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Platinum | 20113 | BlueChoice Plus Opt-Out Platinum Plan | POS | 100022628 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20114 | BluePreferred PPO Platinum Plan | PPO | 100023131 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20115 | BluePreferred PPO Platinum Plan | PPO | 100022880 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20116 | BluePreferred PPO Platinum Plan - $500 | PPO | 100023132 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Platinum | 20117 | BluePreferred PPO Platinum Plan - $500 | PPO | 100022881 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Platinum | 20118 | BluePreferred PPO Platinum Plan | PPO | 100022626 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Platinum | 20119 | BluePreferred PPO Platinum Plan - $500 | PPO | 100022627 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20120 | BlueChoice Advantage 90%/70% Platinum Plan | POS | 100023394 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20121 | BlueChoice Advantage 90%/70% Platinum Plan SE | POS | 100023036 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20122 | BlueChoice Advantage 90%/70% Platinum Plan | POS | 100023035 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20123 | BluePreferred PPO 100%/80% Platinum Plan | PPO | 100023403 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20124 | BluePreferred PPO 100%/80% Platinum Plan - SE | PPO | 100023130 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Platinum | 20125 | BluePreferred PPO 100%/80% Platinum Plan | PPO | 100023129 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20126 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 SE | HMO | 100023083 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20127 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 | HMO | 100023402 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20128 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 | HMO | 100023401 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20129 | BlueChoice HMO Gold Plan - $1,000 | HMO | 100022789 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20130 | BlueChoice HMO HDHP Gold Plan - $1,000 | HMO | 100023400 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20131 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 | HMO | 100022791 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20132 | BlueChoice HMO Gold Plan - $1,000 | HMO | 100023082 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20133 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 SE | HMO | 100023084 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20134 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 | HMO | 100022790 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20135 | BlueChoice HMO Gold Plan - $1,000 | HMO | 100022788 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20136 | BlueChoice HMO Gold Plan - $1,000 | HMO | 100023081 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20137 | BluePreferred PPO HRA Integrated BlueFund 90/70 Gold Plan - $1,000 SE | PPO | 100023118 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20138 | BluePreferred PPO Gold Plan - $1,000 | PPO | 100022855 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20139 | BluePreferred PPO HRA Integrated BlueFund 90/70 Gold Plan - $1,000 | PPO | 100022857 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20140 | BluePreferred PPO 90/70 Gold Plan - $1,000 | PPO | 100023116 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20141 | BluePreferred PPO HRA Integrated Compatible 90/70 Gold Plan - $1,000 SE | PPO | 100023117 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20142 | BluePreferred PPO HRA Integrated Compatible 90/70 Gold Plan - $1,000 | PPO | 100022856 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20143 | BluePreferred PPO Gold Plan - $1,000 | PPO | 100022854 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Gold | 20144 | BluePreferred PPO 90/70 Gold Plan - $1,000 | PPO | 100022621 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20145 | BluePreferred PPO Gold Plan - $1,000 | PPO | 100023115 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20146 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100022697 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20147 | BlueChoice Advantage HDHP Silver Plan - $1,500 | POS | 100023010 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20148 | BlueChoice Advantage HRA Integrated Compatible Gold Plan - $1,500 | POS | 100023024 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20149 | BlueChoice Advantage HDHP Gold Plan - $1,500 | POS | 100022706 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20150 | BlueChoice Advantage HSA Compatible Gold Plan - $1,500 | POS | 100022708 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20151 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100023011 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20152 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100023013 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20153 | BlueChoice Advantage HRA Integrated BlueFund Gold Plan - $1,500 | POS | 100022709 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20154 | BlueChoice Advantage HDHP Silver Plan - $1,500 | POS | 100022696 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20155 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $1,500 | POS | 100022700 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20156 | BlueChoice Advantage HSA BlueFund Gold Plan - $1,500 | POS | 100022707 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20157 | BlueChoice Advantage HSA Compatible Gold Plan - $1,500 | POS | 100023022 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20158 | BlueChoice Advantage HRA Integrated BlueFund Gold Plan - $1,500 | POS | 100023023 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20159 | BlueChoice Advantage HRA Integrated Compatible Gold Plan - $1,500 | POS | 100022710 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20160 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100022699 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20161 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $1,500 | POS | 100023014 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20162 | BlueChoice Advantage HSA Compatible Silver Plan - $1,500 | POS | 100022698 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20163 | BlueChoice Advantage HSA Compatible Silver Plan - $1,500 | POS | 100023012 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20164 | BlueChoice Advantage HDHP Gold Plan - $1,500 | POS | 100023020 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20165 | BlueChoice Advantage HSA BlueFund Gold Plan - $1,500 | POS | 100023021 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20166 | BlueChoice Advantage HDHP/HSA/HRA Silver Plan - $1,500 | POS | 100022559 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Gold | 20167 | BlueChoice Advantage HDHP/HSA/HRA Gold Plan - $1,500 | POS | 100022568 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20168 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100022567 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20169 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $1,500 | HMO | 100022777 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20170 | BlueChoice HMO HDHP Gold Plan - $1,500 | HMO | 100022792 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20171 | BlueChoice HMO HSA BlueFund Gold Plan - $1,500 | HMO | 100023086 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20172 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,500 | HMO | 100023089 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20173 | BlueChoice HMO HDHP Silver Plan - $1,500 | HMO | 100023061 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20174 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $1,500 | HMO | 100023064 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20175 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,500 | HMO | 100023088 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20176 | BlueChoice HMO HSA Compatible Silver Plan - $1,500 | HMO | 100023063 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20177 | BlueChoice HMO HDHP Silver Plan - $1,500 | HMO | 100022773 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20178 | BlueChoice HMO HSA BlueFund Silver Plan - $1,500 | HMO | 100022774 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20179 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,500 | HMO | 100022795 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20180 | BlueChoice HMO HSA Compatible Silver Plan - $1,500 | HMO | 100022775 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20181 | BlueChoice HMO HSA BlueFund Gold Plan - $1,500 | HMO | 100022793 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20182 | BlueChoice HMO HSA Compatible Gold Plan - $1,500 | HMO | 100022794 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20183 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,500 | HMO | 100022796 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20184 | BlueChoice HMO HDHP Gold Plan - $1,500 | HMO | 100023085 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20185 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $1,500 | HMO | 100022776 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20186 | BlueChoice HMO HSA BlueFund Silver Plan - $1,500 | HMO | 100023062 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20187 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $1,500 | HMO | 100023065 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20188 | BlueChoice HMO HSA Compatible Gold Plan - $1,500 | HMO | 100023087 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20189 | BlueChoice HMO HDHP/HSA/HRA Silver Plan - $1,500 | HMO | 100022588 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Gold | 20190 | BlueChoice HMO HDHP/HSA/HRA Gold Plan - $1,500 | HMO | 100022600 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20191 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100022906 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20192 | BlueChoice Plus HSA Compatible Silver Plan - $1,500 | POS | 100023141 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20193 | BlueChoice Plus HDHP Silver Plan - $1,500 | POS | 100022903 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20194 | BlueChoice Plus HSA BlueFund Silver Plan - $1,500 | POS | 100022904 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20195 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $1,500 | POS | 100022907 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20196 | BlueChoice Plus HSA Compatible Silver Plan - $1,500 | POS | 100022905 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20197 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100023142 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20198 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $1,500 | POS | 100023143 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20199 | BlueChoice Plus HDHP Silver Plan - $1,500 | POS | 100023139 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20200 | BlueChoice Plus HSA BlueFund Silver Plan - $1,500 | POS | 100023140 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20201 | BlueChoice Plus HDHP/HSA/HRA Silver Plan - $1,500 | POS | 100022633 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20202 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $1,500 | PPO | 100022847 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20203 | BluePreferred PPO HDHP Silver Plan - $1,500 | PPO | 100023104 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20204 | BluePreferred PPO HSA Compatible Silver Plan - $1,500 | PPO | 100023106 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20205 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $1,500 | PPO | 100023108 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20206 | BluePreferred PPO HDHP Silver Plan - $1,500 | PPO | 100022844 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20207 | BluePreferred PPO HSA Compatible Silver Plan - $1,500 | PPO | 100022846 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20208 | BluePreferred PPO HSA BlueFund Silver Plan - $1,500 | PPO | 100023105 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20209 | BluePreferred PPO HSA BlueFund Silver Plan - $1,500 | PPO | 100022845 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20210 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $1,500 | PPO | 100022848 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20211 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $1,500 | PPO | 100023107 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20212 | BluePreferred PPO HSA BlueFund Silver Plan - $1,500 | PPO | 100022620 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20213 | BluePreferred PPO HDHP/HSA/HRA Silver Plan - $1,500 | PPO | 100022609 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20214 | BlueChoice HMO Silver Plan - $1,000 | HMO | 100022800 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20215 | BlueChoice HMO HRA Non-Integrated Compatible Silver Plan - $1,000 | HMO | 100022802 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20216 | BlueChoice HMO Silver Plan - $1,000 | HMO | 100023093 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20217 | BlueChoice HMO HRA Non-Integrated Compatible Silver Plan - $1,000 | HMO | 100023095 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20218 | BlueChoice HMO HRA Non-Integrated BlueFund Silver Plan - $1,000 | HMO | 100023094 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20219 | BlueChoice HMO HRA Non-Integrated BlueFund Silver Plan - $1,000 | HMO | 100022801 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20220 | BlueChoice HMO Silver Plan - $1,000 | HMO | 100022607 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20221 | BluePreferred PPO HRA Non-Integrated Compatible Silver Plan - $1,000 | PPO | 100023120 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20222 | BluePreferred PPO HRA Non-Integrated BlueFund Silver Plan - $1,000 | PPO | 100023121 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20223 | BluePreferred PPO Silver Plan - $1,000 | PPO | 100023119 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20224 | BluePreferred PPO HRA Non-Integrated Compatible Silver Plan - $1,000 | PPO | 100022868 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20225 | BluePreferred PPO Silver Plan - $1,000 | PPO | 100022867 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20226 | BluePreferred PPO HRA Non-Integrated BlueFund Silver Plan - $1,000 | PPO | 100022869 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20227 | BluePreferred PPO Silver Plan - $1,000 | PPO | 100022622 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20228 | BlueChoice Advantage HRA Non-Integrated BlueFund Bronze Plan - $5,500 | POS | 100022723 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20229 | BlueChoice Advantage HRA Non-Integrated Compatible Bronze Plan - $5,500 | POS | 100023027 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20230 | BlueChoice Advantage Bronze Plan - $5,500 | POS | 100023025 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20231 | BlueChoice Advantage HRA Non-Integrated Compatible Bronze Plan - $5,500 | POS | 100022724 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20232 | BlueChoice Advantage HRA Non-Integrated BlueFund Bronze Plan - $5,500 | POS | 100023026 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20233 | BlueChoice Advantage Bronze Plan - $5,500 | POS | 100022722 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Bronze | 20234 | BlueChoice Advantage HRA Bronze Plan - $5,500 | POS | 100022572 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20235 | BlueChoice HMO Referral Non-Integrated Bronze Plan - $5,500 | HMO | 100023038 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20236 | BlueChoice HMO Referral HRA/HDHP Non-Integrated BlueFund Bronze Plan - $5,500 (Rx-copay) | HMO | 100022744 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20237 | BlueChoice HMO Referral HRA Non-Integrated Compatible Bronze Plan - $5,500 | HMO | 100023040 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20238 | BlueChoice HMO Referral HDHP Non-Integrated Bronze Plan - $5,500 | HMO | 100022743 | OFF-SHOP |
Benefits
| 1/1/2017 | 1/1/2017 | CAF | |
| VA | M | Bronze | 20239 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Bronze Plan - $5,500 | HMO | 100023039 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20240 | BlueChoice HMO Referral HRA/HDHP Non-Integrated Compatible Bronze Plan - $5,500 (Rx-copay) | HMO | 100022745 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Bronze | 20241 | BlueChoice HMO Referral HRA Non-Integrated Bronze Plan - $5,500 | HMO | 100022577 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20242 | HealthyBlue Advantage HSA BlueFund Silver Plan - $2,000 | POS | 100022951 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20243 | HealthyBlue Advantage HSA BlueFund Silver Plan - $2,000 | POS | 100023166 | OFF-SHOP |
Benefits
| 1/1/2017 | 1/1/2017 | CAF | |
| VA | M | Silver | 20244 | HealthyBlue Advantage HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100023168 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20245 | HealthyBlue Advantage HRA Integrated Compatible Silver Plan - $2,000 | POS | 100023169 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20246 | HealthyBlue Advantage HSA Compatible Silver Plan - $2,000 | POS | 100022952 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20247 | HealthyBlue Advantage HRA Integrated Compatible Silver Plan - $2,000 | POS | 100022954 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20248 | HealthyBlue Advantage HDHP Silver Plan - $2,000 | POS | 100022950 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20249 | HealthyBlue Advantage HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100022953 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20250 | HealthyBlue Advantage HDHP Silver Plan - $2,000 | POS | 100023165 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20251 | HealthyBlue Advantage HSA Compatible Silver Plan - $2,000 | POS | 100023167 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20252 | HealthyBlue Advantage HDHP/HSA/HRA Silver Plan - $2,000 | POS | 100022650 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20253 | HealthyBlue HMO HSA Compatible Silver Plan - $2,000 | HMO | 100023179 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20254 | HealthyBlue HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100022970 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20255 | HealthyBlue HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100023178 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20256 | HealthyBlue HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100023181 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20257 | HealthyBlue HMO HSA Compatible Silver Plan - $2,000 | HMO | 100022971 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20258 | HealthyBlue HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100022973 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20259 | HealthyBlue HMO HDHP Silver Plan - $2,000 | HMO | 100023177 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20260 | HealthyBlue HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100022972 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20261 | HealthyBlue HMO HDHP Silver Plan - $2,000 | HMO | 100022969 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20262 | HealthyBlue HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100023180 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20263 | HealthyBlue HMO HDHP/HSA/HRA Silver Plan - $2,000 | HMO | 100022657 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20264 | HealthyBlue Plus HDHP Silver Plan - $2,000 | POS | 100022926 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20265 | HealthyBlue Plus HSA BlueFund Silver Plan - $2,000 | POS | 100023154 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20266 | HealthyBlue Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100022929 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20267 | HealthyBlue Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100023156 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20268 | HealthyBlue Plus HSA BlueFund Silver Plan - $2,000 | POS | 100022927 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20269 | HealthyBlue Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100022930 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20270 | HealthyBlue Plus HDHP Silver Plan - $2,000 | POS | 100023153 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20271 | HealthyBlue Plus HSA Compatible Silver Plan - $2,000 | POS | 100023155 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20272 | HealthyBlue Plus HSA Compatible Silver Plan - $2,000 | POS | 100022928 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20273 | HealthyBlue Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100023157 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20274 | HealthyBlue Plus HDHP/HSA/HRA Silver Plan - $2,000 | POS | 100022643 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20275 | HealthyBlue PPO HSA Compatible Silver Plan - $2,000 | PPO | 100022988 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20276 | HealthyBlue PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100023192 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20277 | HealthyBlue PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100022987 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20278 | HealthyBlue PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100023190 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20279 | HealthyBlue PPO HSA Compatible Silver Plan - $2,000 | PPO | 100023191 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20280 | HealthyBlue PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100022990 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20281 | HealthyBlue PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100023193 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20282 | HealthyBlue PPO HDHP Silver Plan - $2,000 | PPO | 100022986 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20283 | HealthyBlue PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100022989 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20284 | HealthyBlue PPO HDHP Silver Plan - $2,000 | PPO | 100023189 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20285 | HealthyBlue PPO HDHP/HSA/HRA Silver Plan - $2,000 | PPO | 100022664 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20286 | BlueChoice HMO HDHP Silver Plan - $2,000 | HMO | 100022783 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20287 | BlueChoice HMO HDHP Silver Plan - $2,000 | HMO | 100023067 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20288 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 | HMO | 100022785 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20289 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100022787 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20290 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100023068 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20291 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100022784 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20292 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100023066 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20293 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 | HMO | 100023069 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20294 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100023070 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20295 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100022786 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20296 | BlueChoice HMO HDHP/HSA/HRA Silver Plan - $2,000 | HMO | 100022592 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20297 | BluePreferred PPO HRA Integrated Compatible 80/60 Silver Plan - $2,000 | PPO | 100022853 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20298 | BluePreferred PPO HSA BlueFund 80/60 Silver Plan - $2,000 | PPO | 100022850 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20299 | BluePreferred PPO HSA Compatible Silver Plan - $2,000 | PPO | 100023101 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20300 | BluePreferred PPO HSA Compatible 80/60 Silver Plan - $2,000 (copay) | PPO | 100022851 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20301 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100023103 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20302 | BluePreferred PPO HDHP Silver Plan - $2,000 | PPO | 100022849 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20303 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100023102 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20304 | BluePreferred PPO HRA Integrated BlueFund 80/60 Silver Plan - $2,000 | PPO | 100022852 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20305 | BluePreferred PPO HDHP Silver Plan - $2,000 | PPO | 100023099 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20306 | BluePreferred PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100023100 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20307 | BluePreferred PPO HDHP/HSA/HRA Silver Plan - $2,000 | PPO | 100022613 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20308 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100023398 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20309 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100022769 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20310 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 SE | HMO | 100023078 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20311 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 SE | HMO | 100023079 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20312 | BlueChoice HMO HDHP Silver Plan - $2,000 | HMO | 100023395 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20313 | BlueChoice HMO HDHP Silver Plan - $2,000 | HMO | 100022768 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20314 | BlueChoice HMO HDHP Silver Plan - $2,000 SE | HMO | 100023076 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20315 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 SE | HMO | 100023077 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20316 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100022771 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20317 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100023396 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20318 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 | HMO | 100023397 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20319 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100023399 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20320 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 | HMO | 100022770 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20321 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100022772 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20322 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 SE | HMO | 100023080 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20323 | BlueChoice HMO HSA/HRA Silver Plan - $2,000 | HMO | 100022767 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20324 | BlueChoice HMO HSA/HRA Silver Plan - $2,000 | HMO | 100023060 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20325 | BluePreferred PPO HRA Integrated BlueFund 80/60 Silver Plan - $2,000 | PPO | 100022842 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20326 | BluePreferred PPO HRA Integrated Compatible 80/60 Silver Plan - $2,000 SE | PPO | 100023114 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20327 | BluePreferred PPO HSA Compatible 80/60 Silver Plan - $2,000 (coins) | PPO | 100022841 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20328 | BluePreferred PPO HRA Integrated BlueFund 80/60 Silver Plan - $2,000 SE | PPO | 100023113 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20329 | BluePreferred PPO HSA BlueFund 80/60 Silver Plan - $2,000 | PPO | 100022840 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20330 | BluePreferred PPO HSA BlueFund 80/60 Silver Plan - $2,000 SE | PPO | 100023111 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20331 | BluePreferred PPO HRA Integrated Compatible 80/60 Silver Plan - $2,000 | PPO | 100022843 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20332 | BluePreferred PPO HDHP Silver Plan - $2,000 | PPO | 100022839 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20333 | BluePreferred PPO HSA Compatible 80/60 Silver Plan - $2,000 SE | PPO | 100023112 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20334 | BluePreferred PPO HDHP 80/60 Silver Plan - $2,000 SE | PPO | 100023110 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20335 | BluePreferred PPO HSA/HRA 80/60 Silver Plan - $2,000 | PPO | 100022617 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20336 | BluePreferred PPO HSA/HRA 80/60 Silver Plan - $2,000 | PPO | 100023109 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20337 | BluePreferred PPO HSA/HRA 80/60 Silver Plan - $2,000 | PPO | 100022838 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20338 | BlueChoice Advantage Gold Plan - $1,000 | POS | 100022730 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20339 | BlueChoice Advantage HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100023033 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20340 | BlueChoice Advantage HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100023032 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20341 | BlueChoice Advantage Gold Plan - $500 | POS | 100022735 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20342 | BlueChoice Advantage HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100022731 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20343 | BlueChoice Advantage HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100022732 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20344 | BlueChoice Advantage Gold Plan - $1,000 | POS | 100023031 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20345 | BlueChoice Advantage Gold Plan - $500 | POS | 100023034 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Gold | 20346 | BlueChoice Advantage Gold Plan - $1,000 | POS | 100022574 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Gold | 20347 | BlueChoice Advantage Gold Plan - $500 | POS | 100022575 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20348 | BlueChoice HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100023097 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20349 | BlueChoice HMO HDHP Gold Plan - $1,500 | HMO | 100022803 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20350 | BlueChoice HMO Gold Plan - $500 | HMO | 100023053 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20351 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 100023091 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20352 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 100022798 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20353 | BlueChoice HMO HDHP Gold Plan - $1,500 | HMO | 100023096 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20354 | BlueChoice HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100022804 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20355 | BlueChoice HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100022805 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20356 | BlueChoice HMO Gold Plan - $500 | HMO | 100022760 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20357 | BlueChoice HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100023098 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Gold | 20358 | BlueChoice HMO Gold Plan - $500 | HMO | 100022582 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Gold | 20359 | BlueChoice HMO HRA Gold Plan - $1,500 | HMO | 100022608 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Gold | 20360 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 100022604 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20361 | BlueChoice Plus HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100023150 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20362 | BlueChoice Plus HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100022917 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20363 | BlueChoice Plus Gold Plan - $1,000 | POS | 100023149 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20364 | BlueChoice Plus Gold Plan - $500 | POS | 100023152 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20365 | BlueChoice Plus HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100022918 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20366 | BlueChoice Plus Gold Plan - $500 | POS | 100022920 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20367 | BlueChoice Plus Gold Plan - $1,000 | POS | 100022916 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20368 | BlueChoice Plus HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100023151 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Gold | 20369 | BlueChoice Plus Gold Plan - $1,000 | POS | 100022641 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Gold | 20370 | BlueChoice Plus Gold Plan - $500 | POS | 100022642 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20371 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100022875 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20372 | BluePreferred PPO Gold Plan - $1,000 | PPO | 100023122 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20373 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100022874 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20374 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100023127 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20375 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,000 | PPO | 100023124 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20376 | BluePreferred PPO Gold Plan - $1,500 | PPO | 100023125 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20377 | BluePreferred PPO Gold Plan - $1,000 | PPO | 100022870 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20378 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,000 | PPO | 100022871 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20379 | BluePreferred PPO Gold Plan - $500 | PPO | 100022879 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20380 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100023126 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20381 | BluePreferred PPO Gold Plan - $1,500 | PPO | 100022873 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20382 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,000 | PPO | 100023123 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Gold | 20383 | BluePreferred PPO Gold Plan - $500 | PPO | 100023128 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20384 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,000 | PPO | 100022872 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Gold | 20385 | BluePreferred PPO HRA Gold Plan - $1,500 | PPO | 100022624 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Gold | 20386 | BluePreferred PPO Gold Plan - $500 | PPO | 100022625 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Gold | 20387 | BluePreferred PPO Gold Plan - $1,000 | PPO | 100022623 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20388 | BlueChoice HMO HSA Compatible Silver Plan - $3,000 | HMO | 100022780 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20389 | BlueChoice HMO HDHP Silver Plan - $3,000 | HMO | 100022778 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20390 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $3,000 | HMO | 100022782 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20391 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $3,000 | HMO | 100022781 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20392 | BlueChoice HMO HSA BlueFund Silver Plan - $3,000 | HMO | 100022779 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20393 | BlueChoice Advantage HDHP Silver Plan - $3,000 | POS | 100022701 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20394 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100022704 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20395 | BlueChoice Advantage HSA BlueFund Silver Plan - $3,000 | POS | 100022702 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20396 | BlueChoice Advantage HSA Compatible Silver Plan - $3,000 | POS | 100022703 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20397 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $3,000 | POS | 100022705 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20398 | BlueChoice Advantage HDHP Silver Plan - $3,000 | POS | 100023015 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20399 | BlueChoice Advantage HSA BlueFund Silver Plan - $3,000 | POS | 100023016 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20400 | BlueChoice Advantage HSA Compatible Silver Plan - $3,000 | POS | 100023017 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20401 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100023018 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20402 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $3,000 | POS | 100023019 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20403 | BlueChoice Advantage HDHP/HSA/HRA Silver Plan - $3,000 | POS | 100022563 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20404 | BlueChoice HMO HSA BlueFund Silver Plan - $3,000 | HMO | 100023072 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20405 | BlueChoice HMO HDHP Silver Plan - $3,000 | HMO | 100023071 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20406 | BlueChoice HMO HSA Compatible Silver Plan - $3,000 | HMO | 100023073 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20407 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $3,000 | HMO | 100023074 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20408 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $3,000 | HMO | 100023075 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20409 | BlueChoice HMO HDHP/HSA/HRA Silver Plan - $3,000 | HMO | 100022596 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20410 | BlueChoice Plus HDHP Silver Plan - $3,000 | POS | 100023144 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20411 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100022911 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20412 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $3,000 | POS | 100023148 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20413 | BlueChoice Plus HSA Compatible Silver Plan - $3,000 | POS | 100022910 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20414 | BlueChoice Plus HSA BlueFund Silver Plan - $3,000 | POS | 100022909 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20415 | BlueChoice Plus HSA Compatible Silver Plan - $3,000 | POS | 100023146 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20416 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100023147 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20417 | BlueChoice Plus HDHP Silver Plan - $3,000 | POS | 100022908 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20418 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $3,000 | POS | 100022912 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20419 | BlueChoice Plus HSA BlueFund Silver Plan - $3,000 | POS | 100023145 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20420 | BlueChoice Plus HDHP/HSA/HRA Silver Plan - $3,000 | POS | 100022637 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20421 | BlueChoice HMO Referral HSA/HRA Integrated Compatible Bronze Plan - $5,500 (Rx-coins) | HMO | 100022742 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20422 | BlueChoice HMO Referral HSA/HRA Integrated BlueFund Bronze Plan - $5,500 (Rx-coins) | HMO | 100022739 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20423 | BlueChoice HMO Referral HDHP Integrated Bronze Plan - $5,500 | HMO | 100022738 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20424 | BlueChoice HMO Referral HSA/HRA Integrated Compatible Bronze Plan - $5,500 (Rx-coins) | HMO | 100022740 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20425 | BlueChoice HMO Referral HSA/HRA Integrated BlueFund Bronze Plan - $5,500 (Rx-coins) | HMO | 100022741 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20426 | BlueChoice HMO Referral HSA/HRA Integrated Bronze Plan - $5,500 (Rx-coins) | HMO | 100022737 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20427 | BluePreferred PPO HSA Compatible Bronze Plan - $5,500 | PPO | 100022835 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20428 | BluePreferred PPO HDHP Bronze Plan - $5,500 | PPO | 100022833 | OFF-SHOP |
Benefits
| 1/1/2017 | 1/1/2017 | CAF | |
| MD | M | Bronze | 20429 | BluePreferred PPO HSA BlueFund Bronze Plan - $5,500 | PPO | 100022834 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20430 | BluePreferred PPO HSA/HRA Integrated Compatible Bronze Plan - $5,500 | PPO | 100022837 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20431 | BluePreferred PPO HSA/HRA Integrated BlueFund Bronze Plan - $5,500 | PPO | 100022836 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20432 | BluePreferred PPO HSA/HRA Bronze Plan - $5,500 | PPO | 100022832 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20433 | BlueChoice HMO Referral 70 Silver Plan - $2,000 | HMO | 100023041 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20434 | BlueChoice HMO Referral 70 HRA Non-Integrated BlueFund Silver Plan - $2,000 | HMO | 100022747 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20435 | BlueChoice HMO Referral 70 HRA Non-Integrated Compatible Silver Plan - $2,000 | HMO | 100023043 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Silver | 20436 | BlueChoice HMO Referral 70 HRA Non-Integrated BlueFund Silver Plan - $2,000 | HMO | 100023042 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20437 | BlueChoice HMO Referral 70 HDHP Silver Plan - $2,000 | HMO | 100022746 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Silver | 20438 | BlueChoice HMO Referral 70 HRA Non-Integrated Compatible Silver Plan - $2,000 | HMO | 100022748 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Silver | 20439 | BlueChoice HMO Referral 70 HRA Silver Plan - $2,000 | HMO | 100022578 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20440 | BlueChoice Advantage HDHP Bronze Plan - $6,500 | POS | 100023005 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20441 | BlueChoice Advantage HDHP Bronze Plan - $6,500 | POS | 100022691 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20442 | BlueChoice Advantage HRA Integrated BlueFund Bronze Plan - $6,500 | POS | 100022694 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20443 | BlueChoice Advantage HSA Compatible Bronze Plan - $6,500 | POS | 100022693 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20444 | BlueChoice Advantage HRA Integrated Compatible Bronze Plan - $6,500 | POS | 100022695 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20445 | BlueChoice Advantage HSA BlueFund Bronze Plan - $6,500 | POS | 100022692 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20446 | BlueChoice Advantage HRA Integrated BlueFund Bronze Plan - $6,500 | POS | 100023008 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20447 | BlueChoice Advantage HSA Compatible Bronze Plan - $6,500 | POS | 100023007 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20448 | BlueChoice Advantage HRA Integrated Compatible Bronze Plan - $6,500 | POS | 100023009 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20449 | BlueChoice Advantage HSA BlueFund Bronze Plan - $6,500 | POS | 100023006 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20450 | BlueChoice HMO HSA BlueFund Bronze Plan - $6,500 | HMO | 100022763 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20451 | BlueChoice HMO HRA Integrated Compatible Bronze Plan - $6,500 | HMO | 100022766 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20452 | BlueChoice HMO HRA Integrated BlueFund Bronze Plan - $6,500 | HMO | 100022765 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20453 | BlueChoice HMO HDHP Bronze Plan - $6,500 | HMO | 100023055 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20454 | BlueChoice HMO HSA Compatible Bronze Plan - $6,500 | HMO | 100022764 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20455 | BlueChoice HMO HSA Compatible Bronze Plan - $6,500 | HMO | 100023057 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20456 | BlueChoice HMO HDHP Bronze Plan - $6,500 | HMO | 100022762 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20457 | BlueChoice HMO HSA BlueFund Bronze Plan - $6,500 | HMO | 100023056 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20458 | BlueChoice HMO HRA Integrated BlueFund Bronze Plan - $6,500 | HMO | 100023058 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20459 | BlueChoice HMO HRA Integrated Compatible Bronze Plan - $6,500 | HMO | 100023059 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Bronze | 20460 | BlueChoice HMO HDHP/HSA/HRA Bronze Plan - $6,500 | HMO | 100022584 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20461 | BlueChoice Plus HRA Integrated Compatible Bronze Plan - $6,500 | POS | 100022902 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20462 | BlueChoice Plus HSA Compatible Bronze Plan - $6,500 | POS | 100023136 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20463 | BlueChoice Plus HRA Integrated BlueFund Bronze Plan - $6,500 | POS | 100023137 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20464 | BlueChoice Plus HDHP Bronze Plan - $6,500 | POS | 100023134 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20465 | BlueChoice Plus HSA Compatible Bronze Plan - $6,500 | POS | 100022900 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20466 | BlueChoice Plus HDHP Bronze Plan - $6,500 | POS | 100022898 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20467 | BlueChoice Plus HRA Integrated Compatible Bronze Plan - $6,500 | POS | 100023138 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| VA | M | Bronze | 20468 | BlueChoice Plus HSA BlueFund Bronze Plan - $6,500 | POS | 100023135 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20469 | BlueChoice Plus HRA Integrated BlueFund Bronze Plan - $6,500 | POS | 100022901 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Bronze | 20470 | BlueChoice Plus HSA BlueFund Bronze Plan - $6,500 | POS | 100022899 | OFF-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Bronze | 20471 | BlueChoice Advantage HDHP/HSA/HRA Bronze Plan - $6,500 | POS | 100022555 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| DC | M | Bronze | 20472 | BlueChoice Plus HDHP/HSA/HRA Bronze Plan - $6,500 | POS | 100022629 | ON-SHOP |
Benefits
| 1/1/2017 | 3/31/2017 | CAF | |
| MD | M | Gold | 20473 | BlueChoice HMO Gold Plan - $500 | HMO | 100024437 | OFF-SHOP |
Benefits
| 7/1/2017 | 12/31/2017 | CAF | |
| DC | M | Gold | 21000 | BlueChoice Advantage Gold Plan - $1,000 | POS | 100022574 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Gold | 21001 | BlueChoice Advantage Gold Plan - $500 | POS | 100022575 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Platinum | 21002 | BlueChoice Advantage Platinum Plan | POS | 100022576 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Bronze | 21003 | BlueChoice Advantage HDHP/HSA/HRA Bronze Plan - $6,500 | POS | 100022555 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Gold | 21004 | BlueChoice Advantage HDHP/HSA/HRA Gold Plan - $1,500 | POS | 100022568 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21005 | BlueChoice Advantage HDHP/HSA/HRA Silver Plan - $1,500 | POS | 100022559 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21006 | BlueChoice Advantage HDHP/HSA/HRA Silver Plan - $3,000 | POS | 100022563 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Bronze | 21007 | BlueChoice Advantage HRA Bronze Plan - $5,500 | POS | 100022572 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21008 | BlueChoice Advantage HRA Silver Plan - $4,000 | POS | 100022573 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21009 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100022567 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Gold | 21010 | BlueChoice HMO Gold Plan - $500 | HMO | 100022582 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Platinum | 21011 | BlueChoice HMO Platinum Plan | HMO | 100022583 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21012 | BlueChoice HMO Silver Plan - $1,000 | HMO | 100022607 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Bronze | 21013 | BlueChoice HMO HDHP/HSA/HRA Bronze Plan - $6,500 | HMO | 100022584 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Gold | 21014 | BlueChoice HMO HDHP/HSA/HRA Gold Plan - $1,500 | HMO | 100022600 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21015 | BlueChoice HMO HDHP/HSA/HRA Silver Plan - $1,500 | HMO | 100022588 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21016 | BlueChoice HMO HDHP/HSA/HRA Silver Plan - $2,000 | HMO | 100022592 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21017 | BlueChoice HMO HDHP/HSA/HRA Silver Plan - $3,000 | HMO | 100022596 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Gold | 21018 | BlueChoice HMO HRA Gold Plan - $1,500 | HMO | 100022608 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Gold | 21019 | BlueChoice HMO Referral Gold Plan | HMO | 100022605 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Gold | 21020 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 100022604 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Platinum | 21021 | BlueChoice HMO Referral Platinum Plan | HMO | 100022606 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Platinum | 21022 | BlueChoice HMO Referral Platinum Plan - $1,000 | HMO | 100022581 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21023 | BlueChoice HMO Referral 70 HRA Silver Plan - $2,000 | HMO | 100022578 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Gold | 21024 | BlueChoice HMO Referral 80 Gold Plan - $1,000 | HMO | 100022580 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Bronze | 21025 | BlueChoice HMO Referral HRA Bronze Plan - $5,500 | HMO | 100022577 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21026 | BlueChoice HMO Referral HRA Silver Plan - $4,000 | HMO | 100022579 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Gold | 21027 | BlueChoice Plus Gold Plan - $1,000 | POS | 100022641 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Gold | 21028 | BlueChoice Plus Gold Plan - $500 | POS | 100022642 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Bronze | 21029 | BlueChoice Plus HDHP/HSA/HRA Bronze Plan - $6,500 | POS | 100022629 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21030 | BlueChoice Plus HDHP/HSA/HRA Silver Plan - $1,500 | POS | 100022633 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21031 | BlueChoice Plus HDHP/HSA/HRA Silver Plan - $3,000 | POS | 100022637 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Platinum | 21032 | BlueChoice Plus Opt-Out Platinum Plan | POS | 100022628 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Gold | 21033 | BluePreferred PPO Gold Plan - $1,000 | PPO | 100022623 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Gold | 21034 | BluePreferred PPO Gold Plan - $500 | PPO | 100022625 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Platinum | 21035 | BluePreferred PPO Platinum Plan | PPO | 100022626 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Platinum | 21036 | BluePreferred PPO Platinum Plan- $500 | PPO | 100022627 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21037 | BluePreferred PPO Silver Plan - $1,000 | PPO | 100022622 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Gold | 21038 | BluePreferred PPO 90/70 Gold Plan - $1,000 | PPO | 100022621 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21039 | BluePreferred PPO HDHP/HSA/HRA Silver Plan - $1,500 | PPO | 100022609 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21040 | BluePreferred PPO HDHP/HSA/HRA Silver Plan - $2,000 | PPO | 100022613 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Gold | 21041 | BluePreferred PPO HRA Gold Plan - $1,500 | PPO | 100022624 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21042 | BluePreferred PPO HSA BlueFund Silver Plan - $1,500 | PPO | 100022620 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21043 | BluePreferred PPO HSA/HRA 80/60 Silver Plan - $2,000 | PPO | 100022617 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Platinum | 21044 | HealthyBlue Advantage Platinum Plan - $1,000 | POS | 100022655 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Platinum | 21045 | HealthyBlue Advantage Platinum Plan- $500 | POS | 100022656 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21046 | HealthyBlue Advantage HDHP/HSA/HRA Silver Plan - $2,000 | POS | 100022650 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Gold | 21047 | HealthyBlue Advantage HRA Gold Plan - $1,500 | POS | 100022654 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Platinum | 21048 | HealthyBlue HMO Platinum Plan - $1,000 | HMO | 100022662 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Platinum | 21049 | HealthyBlue HMO Platinum Plan- $500 | HMO | 100022663 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21050 | HealthyBlue HMO HDHP/HSA/HRA Silver Plan - $2,000 | HMO | 100022657 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Gold | 21051 | HealthyBlue HMO HRA Gold Plan - $1,500 | HMO | 100022661 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Platinum | 21052 | HealthyBlue Plus Platinum Plan - $1,000 | POS | 100022648 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Platinum | 21053 | HealthyBlue Plus Platinum Plan- $500 | POS | 100022649 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21054 | HealthyBlue Plus HDHP/HSA/HRA Silver Plan - $2,000 | POS | 100022643 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Gold | 21055 | HealthyBlue Plus HRA Gold Plan - $1,500 | POS | 100022647 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Platinum | 21056 | HealthyBlue PPO Platinum Plan - $1,000 | PPO | 100022669 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Platinum | 21057 | HealthyBlue PPO Platinum Plan- $500 | PPO | 100022670 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Silver | 21058 | HealthyBlue PPO HDHP/HSA/HRA Silver Plan - $2,000 | PPO | 100022664 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| DC | M | Gold | 21059 | HealthyBlue PPO HRA Gold Plan - $1,500 | PPO | 100022668 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21060 | BlueChoice Advantage Bronze Plan - $5,500 | POS | 100022722 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21061 | BlueChoice Advantage Gold Plan - $1,000 | POS | 100022730 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21062 | BlueChoice Advantage Gold Plan - $500 | POS | 100022735 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21063 | BlueChoice Advantage Platinum Plan | POS | 100022736 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21064 | BlueChoice Advantage Silver Plan - $4,000 | POS | 100024012 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21065 | BlueChoice Advantage HDHP Bronze Plan - $6,500 | POS | 100022691 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21066 | BlueChoice Advantage HDHP Gold Plan - $1,500 | POS | 100022706 | OFF-SHOP |
Benefits
| 4/1/2017 | 6/30/2017 | CAF | |
| MD | M | Silver | 21067 | BlueChoice Advantage HDHP Silver Plan - $1,500 | POS | 100022696 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21068 | BlueChoice Advantage HDHP Silver Plan - $3,000 | POS | 100022701 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21069 | BlueChoice Advantage HRA Integrated BlueFund Bronze Plan - $6,500 | POS | 100022694 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21070 | BlueChoice Advantage HRA Integrated BlueFund Gold Plan - $1,500 | POS | 100022709 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21071 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100022699 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21072 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100022704 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21073 | BlueChoice Advantage HRA Integrated Compatible Bronze Plan - $6,500 | POS | 100022695 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21074 | BlueChoice Advantage HRA Integrated Compatible Gold Plan - $1,500 | POS | 100022710 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21075 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $1,500 | POS | 100022700 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21076 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $3,000 | POS | 100022705 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21077 | BlueChoice Advantage HRA Non-Integrated BlueFund Bronze Plan - $5,500 | POS | 100022723 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21078 | BlueChoice Advantage HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100022731 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21079 | BlueChoice Advantage HRA Non-Integrated BlueFund Silver Plan - $4,000 | POS | 100024013 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21080 | BlueChoice Advantage HRA Non-Integrated Compatible Bronze Plan - $5,500 | POS | 100022724 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21081 | BlueChoice Advantage HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100022732 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21082 | BlueChoice Advantage HRA Non-Integrated Compatible Silver Plan - $4,000 | POS | 100024014 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21083 | BlueChoice Advantage HSA BlueFund Bronze Plan - $6,500 | POS | 100022692 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21084 | BlueChoice Advantage HSA BlueFund Gold Plan - $1,500 | POS | 100022707 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21085 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100022697 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21086 | BlueChoice Advantage HSA BlueFund Silver Plan - $3,000 | POS | 100022702 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21087 | BlueChoice Advantage HSA Compatible Bronze Plan - $6,500 | POS | 100022693 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21088 | BlueChoice Advantage HSA Compatible Gold Plan - $1,500 | POS | 100022708 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21089 | BlueChoice Advantage HSA Compatible Silver Plan - $1,500 | POS | 100022698 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21090 | BlueChoice Advantage HSA Compatible Silver Plan - $3,000 | POS | 100022703 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21091 | BlueChoice HMO Gold Plan - $1,000 | HMO | 100022789 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21092 | BlueChoice HMO Gold Plan - $1,000 | HMO | 100022788 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21093 | BlueChoice HMO HRA Non-Integrated Gold Plan - $1,500 | HMO | 100022803 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21094 | BlueChoice HMO Gold Plan - $500 | HMO | 100022760 | OFF-SHOP |
Benefits
| 4/1/2017 | 6/30/2017 | CAF | |
| MD | M | Platinum | 21095 | BlueChoice HMO Platinum Plan | HMO | 100022761 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21096 | BlueChoice HMO Silver Plan - $1,000 | HMO | 100022800 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21097 | BlueChoice HMO HDHP Bronze Plan - $6,500 | HMO | 100022762 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21098 | BlueChoice HMO HDHP Integrated Gold Plan - $1,500 | HMO | 100022792 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21099 | BlueChoice HMO HDHP Silver Plan - $1,500 | HMO | 100022773 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21100 | BlueChoice HMO HDHP Silver Plan - $2,000 | HMO | 100022783 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21101 | BlueChoice HMO HDHP Silver Plan - $2,000 | HMO | 100022768 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21102 | BlueChoice HMO HDHP Silver Plan - $3,000 | HMO | 100022778 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21103 | BlueChoice HMO HRA Integrated BlueFund Bronze Plan - $6,500 | HMO | 100022765 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21104 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 | HMO | 100022790 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21105 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,500 | HMO | 100022795 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21106 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $1,500 | HMO | 100022776 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21107 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100022771 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21108 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100022786 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21109 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $3,000 | HMO | 100022781 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21110 | BlueChoice HMO HRA Integrated Compatible Bronze Plan - $6,500 | HMO | 100022766 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21111 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 | HMO | 100022791 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21112 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,500 | HMO | 100022796 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21113 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $1,500 | HMO | 100022777 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21114 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100022787 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21115 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100022772 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21116 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $3,000 | HMO | 100022782 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21117 | BlueChoice HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100022804 | OFF-SHOP |
Benefits
| 4/1/2017 | 6/30/2017 | CAF | |
| MD | M | Silver | 21118 | BlueChoice HMO HRA Non-Integrated BlueFund Silver Plan - $1,000 | HMO | 100022801 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21119 | BlueChoice HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100022805 | OFF-SHOP |
Benefits
| 4/1/2017 | 6/30/2017 | CAF | |
| MD | M | Silver | 21120 | BlueChoice HMO HRA Non-Integrated Compatible Silver Plan - $1,000 | HMO | 100022802 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21121 | BlueChoice HMO HSA BlueFund Bronze Plan - $6,500 | HMO | 100022763 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21122 | BlueChoice HMO HSA Integrated BlueFund Gold Plan - $1,500 | HMO | 100022793 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21123 | BlueChoice HMO HSA BlueFund Silver Plan - $1,500 | HMO | 100022774 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21124 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100022769 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21125 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100022784 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21126 | BlueChoice HMO HSA BlueFund Silver Plan - $3,000 | HMO | 100022779 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21127 | BlueChoice HMO HSA Compatible Bronze Plan - $6,500 | HMO | 100022764 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21128 | BlueChoice HMO HSA Integrated Compatible Gold Plan - $1,500 | HMO | 100022794 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21129 | BlueChoice HMO HSA Compatible Silver Plan - $1,500 | HMO | 100022775 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21130 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 | HMO | 100022785 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21131 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 | HMO | 100022770 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21132 | BlueChoice HMO HSA Compatible Silver Plan - $3,000 | HMO | 100022780 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21133 | BlueChoice HMO HSA/HRA Silver Plan - $2,000 | HMO | 100022767 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21134 | BlueChoice HMO Referral Bronze Plan - $5,500 | HMO | 100022743 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21135 | BlueChoice HMO Referral Gold Plan | HMO | 100022797 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21136 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 100022798 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21137 | BlueChoice HMO Referral Platinum Plan | HMO | 100022799 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21138 | BlueChoice HMO Referral Platinum Plan - $1,000 | HMO | 100022757 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21139 | BlueChoice HMO Referral Silver Plan - $4,000 | HMO | 100024421 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21140 | BlueChoice HMO Referral 70 Silver Plan - $2,000 | HMO | 100022746 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21141 | BlueChoice HMO Referral 70 HRA Non-Integrated BlueFund Silver Plan - $2,000 | HMO | 100022747 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21142 | BlueChoice HMO Referral 70 HRA Non-Integrated Compatible Silver Plan - $2,000 | HMO | 100022748 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21143 | BlueChoice HMO Referral 80 Gold Plan - $1,000 | HMO | 100022754 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21144 | BlueChoice HMO Referral 80 HRA Non-Integrated BlueFund Gold Plan - $1,000 | HMO | 100022755 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21145 | BlueChoice HMO Referral 80 HRA Non-Integrated Compatible Gold Plan - $1,000 | HMO | 100022756 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21146 | BlueChoice HMO Referral HDHP Bronze Plan - $5,500 | HMO | 100022738 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21147 | BlueChoice HMO Referral HRA Integrated BlueFund Bronze Plan - $5,500 | HMO | 100022741 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21148 | BlueChoice HMO Referral HRA Integrated Compatible Bronze Plan - $5,500 | HMO | 100022742 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21149 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Bronze Plan - $5,500 | HMO | 100022744 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21150 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Platinum Plan - $1,000 | HMO | 100022758 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21151 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Silver Plan - $4,000 | HMO | 100024419 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21152 | BlueChoice HMO Referral HRA Non-Integrated Compatible Bronze Plan - $5,500 | HMO | 100022745 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21153 | BlueChoice HMO Referral HRA Non-Integrated Compatible Platinum Plan - $1,000 | HMO | 100022759 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21154 | BlueChoice HMO Referral HRA Non-Integrated Compatible Silver Plan - $4,000 | HMO | 100024420 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21155 | BlueChoice HMO Referral HSA BlueFund Bronze Plan - $5,500 | HMO | 100022739 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21156 | BlueChoice HMO Referral HSA Compatible Bronze Plan - $5,500 | HMO | 100022740 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21157 | BlueChoice HMO Referral HSA/HRA Bronze Plan - $5,500 | HMO | 100022737 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21158 | BlueChoice Plus Gold Plan - $1,000 | POS | 100022916 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21159 | BlueChoice Plus Gold Plan - $500 | POS | 100022920 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21160 | BlueChoice Plus HDHP Bronze Plan - $6,500 | POS | 100022898 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21161 | BlueChoice Plus HDHP Silver Plan - $1,500 | POS | 100022903 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21162 | BlueChoice Plus HDHP Silver Plan - $3,000 | POS | 100022908 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21163 | BlueChoice Plus HRA Integrated BlueFund Bronze Plan - $6,500 | POS | 100022901 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21164 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100022906 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21165 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100022911 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21166 | BlueChoice Plus HRA Integrated Compatible Bronze Plan - $6,500 | POS | 100022902 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21167 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $1,500 | POS | 100022907 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21168 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $3,000 | POS | 100022912 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21169 | BlueChoice Plus HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100022917 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21170 | BlueChoice Plus HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100022918 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21171 | BlueChoice Plus HSA BlueFund Bronze Plan - $6,500 | POS | 100022899 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21172 | BlueChoice Plus HSA BlueFund Silver Plan - $1,500 | POS | 100022904 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21173 | BlueChoice Plus HSA BlueFund Silver Plan - $3,000 | POS | 100022909 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21174 | BlueChoice Plus HSA Compatible Bronze Plan - $6,500 | POS | 100022900 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21175 | BlueChoice Plus HSA Compatible Silver Plan - $1,500 | POS | 100022905 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21176 | BlueChoice Plus HSA Compatible Silver Plan - $3,000 | POS | 100022910 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21177 | BlueChoice Plus Opt-Out Platinum Plan | POS | 100022882 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21178 | BluePreferred PPO Gold Plan - $1,000 | PPO | 100022870 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21179 | BluePreferred PPO Gold Plan - $1,500 | PPO | 100022873 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21180 | BluePreferred PPO Gold Plan - $500 | PPO | 100022879 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21181 | BluePreferred PPO Platinum Plan | PPO | 100022880 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21182 | BluePreferred PPO Platinum Plan- $500 | PPO | 100022881 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21183 | BluePreferred PPO Silver Plan - $1,000 | PPO | 100022867 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21184 | BluePreferred PPO 90/70 Gold Plan - $1,000 | PPO | 100022855 | OFF-SHOP |
Benefits
| 4/1/2017 | 6/30/2017 | CAF | |
| MD | M | Gold | 21185 | BluePreferred PPO 90/70 Gold Plan - $1,000 | PPO | 100022854 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21186 | BluePreferred PPO HDHP Bronze Plan - $5,500 | PPO | 100022833 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21187 | BluePreferred PPO HDHP Silver Plan - $1,500 | PPO | 100022844 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21188 | BluePreferred PPO HDHP Silver Plan - $2,000 | PPO | 100022849 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21189 | BluePreferred PPO HDHP 80/60 Silver Plan - $2,000 | PPO | 100022839 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21190 | BluePreferred PPO HRA Integrated BlueFund Bronze Plan - $5,500 | PPO | 100022836 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21191 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $1,500 | PPO | 100022847 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21192 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100022852 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21193 | BluePreferred PPO HRA Integrated BlueFund 80/60 Silver Plan - $2,000 | PPO | 100022842 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21194 | BluePreferred PPO HRA Integrated BlueFund 90/70 Gold Plan - $1,000 | PPO | 100022857 | OFF-SHOP |
Benefits
| 4/1/2017 | 6/30/2017 | CAF | |
| MD | M | Bronze | 21195 | BluePreferred PPO HRA Integrated Compatible Bronze Plan - $5,500 | PPO | 100022837 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21196 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $1,500 | PPO | 100022848 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21197 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100022853 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21198 | BluePreferred PPO HRA Integrated Compatible 80/60 Silver Plan - $2,000 | PPO | 100022843 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21199 | BluePreferred PPO HRA Integrated Compatible 90/70 Gold Plan - $1,000 | PPO | 100022856 | OFF-SHOP |
Benefits
| 4/1/2017 | 6/30/2017 | CAF | |
| MD | M | Gold | 21200 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,000 | PPO | 100022872 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21201 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100022875 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21202 | BluePreferred PPO HRA Non-Integrated BlueFund Silver Plan - $1,000 | PPO | 100022869 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21203 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,000 | PPO | 100022871 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21204 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100022874 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21205 | BluePreferred PPO HRA Non-Integrated Compatible Silver Plan - $1,000 | PPO | 100022868 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21206 | BluePreferred PPO HSA BlueFund Bronze Plan - $5,500 | PPO | 100022834 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21207 | BluePreferred PPO HSA BlueFund Silver Plan - $1,500 | PPO | 100022845 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21208 | BluePreferred PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100022850 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21209 | BluePreferred PPO HSA BlueFund 80/60 Silver Plan - $2,000 | PPO | 100022840 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21210 | BluePreferred PPO HSA Compatible Bronze Plan - $5,500 | PPO | 100022835 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21211 | BluePreferred PPO HSA Compatible Silver Plan - $1,500 | PPO | 100022846 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21212 | BluePreferred PPO HSA Compatible Silver Plan - $2,000 | PPO | 100022851 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21213 | BluePreferred PPO HSA Compatible 80/60 Silver Plan - $2,000 | PPO | 100022841 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Bronze | 21214 | BluePreferred PPO HSA/HRA Bronze Plan - $5,500 | PPO | 100022832 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21215 | BluePreferred PPO HSA/HRA 80/60 Silver Plan - $2,000 | PPO | 100022838 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21216 | HealthyBlue Advantage Gold Plan - $1,500 | POS | 100022961 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21217 | HealthyBlue Advantage Platinum Plan - $1,000 | POS | 100022964 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21218 | HealthyBlue Advantage Platinum Plan- $500 | POS | 100022968 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21219 | HealthyBlue Advantage HDHP Silver Plan - $2,000 | POS | 100022950 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21220 | HealthyBlue Advantage HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100022953 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21221 | HealthyBlue Advantage HRA Integrated Compatible Silver Plan - $2,000 | POS | 100022954 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21222 | HealthyBlue Advantage HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100022962 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21223 | HealthyBlue Advantage HRA Non-Integrated BlueFund Platinum Plan - $1,000 | POS | 100022965 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21224 | HealthyBlue Advantage HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100022963 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21225 | HealthyBlue Advantage HRA Non-Integrated Compatible Platinum Plan - $1,000 | POS | 100022966 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21226 | HealthyBlue Advantage HSA BlueFund Silver Plan - $2,000 | POS | 100022951 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21227 | HealthyBlue Advantage HSA Compatible Silver Plan - $2,000 | POS | 100022952 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21228 | HealthyBlue HMO Gold Plan - $1,500 | HMO | 100022974 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21229 | HealthyBlue HMO Platinum Plan - $1,000 | HMO | 100022977 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21230 | HealthyBlue HMO Platinum Plan- $500 | HMO | 100022980 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21231 | HealthyBlue HMO HDHP Silver Plan - $2,000 | HMO | 100022969 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21232 | HealthyBlue HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100022972 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21233 | HealthyBlue HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100022973 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21234 | HealthyBlue HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100022975 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21235 | HealthyBlue HMO HRA Non-Integrated BlueFund Platinum Plan - $1,000 | HMO | 100022978 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21236 | HealthyBlue HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100022976 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21237 | HealthyBlue HMO HRA Non-Integrated Compatible Platinum Plan - $1,000 | HMO | 100022979 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21238 | HealthyBlue HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100022970 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21239 | HealthyBlue HMO HSA Compatible Silver Plan - $2,000 | HMO | 100022971 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21240 | HealthyBlue Plus Gold Plan - $1,500 | POS | 100022937 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21241 | HealthyBlue Plus Platinum Plan - $1,000 | POS | 100022940 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21242 | HealthyBlue Plus Platinum Plan- $500 | POS | 100022944 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21243 | HealthyBlue Plus HDHP Silver Plan - $2,000 | POS | 100022926 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21244 | HealthyBlue Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100022929 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21245 | HealthyBlue Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100022930 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21246 | HealthyBlue Plus HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100022938 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21247 | HealthyBlue Plus HRA Non-Integrated BlueFund Platinum Plan - $1,000 | POS | 100022941 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21248 | HealthyBlue Plus HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100022939 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21249 | HealthyBlue Plus HRA Non-Integrated Compatible Platinum Plan - $1,000 | POS | 100022942 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21250 | HealthyBlue Plus HSA BlueFund Silver Plan - $2,000 | POS | 100022927 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21251 | HealthyBlue Plus HSA Compatible Silver Plan - $2,000 | POS | 100022928 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21252 | HealthyBlue PPO Gold Plan - $1,500 | PPO | 100022999 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21253 | HealthyBlue PPO Platinum Plan - $1,000 | PPO | 100023000 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21254 | HealthyBlue PPO Platinum Plan- $500 | PPO | 100023004 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21255 | HealthyBlue PPO HDHP Silver Plan - $2,000 | PPO | 100022986 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21256 | HealthyBlue PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100022989 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21257 | HealthyBlue PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100022990 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21258 | HealthyBlue PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100022998 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21259 | HealthyBlue PPO HRA Non-Integrated BlueFund Platinum Plan - $1,000 | PPO | 100023002 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Gold | 21260 | HealthyBlue PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100022997 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Platinum | 21261 | HealthyBlue PPO HRA Non-Integrated Compatible Platinum Plan - $1,000 | PPO | 100023001 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21262 | HealthyBlue PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100022987 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| MD | M | Silver | 21263 | HealthyBlue PPO HSA Compatible Silver Plan - $2,000 | PPO | 100022988 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21264 | BlueChoice Advantage Bronze Plan - $5,500 | POS | 100023025 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21265 | BlueChoice Advantage Gold Plan - $1,000 | POS | 100023031 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21266 | BlueChoice Advantage Gold Plan - $500 | POS | 100023034 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21267 | BlueChoice Advantage Platinum Plan | POS | 100023037 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21268 | BlueChoice Advantage 90%/70% Platinum Plan | POS | 100023394 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21269 | BlueChoice Advantage 90%/70% Platinum Plan | POS | 100023035 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21270 | BlueChoice Advantage 90%/70% Platinum Plan SE | POS | 100023036 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21271 | BlueChoice Advantage HDHP Bronze Plan - $6,500 | POS | 100023005 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21272 | BlueChoice Advantage HDHP Gold Plan - $1,500 | POS | 100023020 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21273 | BlueChoice Advantage HDHP Silver Plan - $1,500 | POS | 100023010 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21274 | BlueChoice Advantage HDHP Silver Plan - $3,000 | POS | 100023015 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21275 | BlueChoice Advantage HRA Integrated BlueFund Bronze Plan - $6,500 | POS | 100023008 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21276 | BlueChoice Advantage HRA Integrated BlueFund Gold Plan - $1,500 | POS | 100023023 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21277 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100023013 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21278 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100023018 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21279 | BlueChoice Advantage HRA Integrated Compatible Bronze Plan - $6,500 | POS | 100023009 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21280 | BlueChoice Advantage HRA Integrated Compatible Gold Plan - $1,500 | POS | 100023024 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21281 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $1,500 | POS | 100023014 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21282 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $3,000 | POS | 100023019 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21283 | BlueChoice Advantage HRA Non-Integrated BlueFund Bronze Plan - $5,500 | POS | 100023026 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21284 | BlueChoice Advantage HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100023032 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21285 | BlueChoice Advantage HRA Non-Integrated BlueFund Silver Plan - $4,000 | POS | 100023029 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21286 | BlueChoice Advantage HRA Non-Integrated Compatible Bronze Plan - $5,500 | POS | 100023027 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21287 | BlueChoice Advantage HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100023033 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21288 | BlueChoice Advantage HRA Non-Integrated Compatible Silver Plan - $4,000 | POS | 100023030 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21289 | BlueChoice Advantage HSA BlueFund Bronze Plan - $6,500 | POS | 100023006 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21290 | BlueChoice Advantage HSA BlueFund Gold Plan - $1,500 | POS | 100023021 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21291 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100023011 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21292 | BlueChoice Advantage HSA BlueFund Silver Plan - $3,000 | POS | 100023016 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21293 | BlueChoice Advantage HSA Compatible Bronze Plan - $6,500 | POS | 100023007 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21294 | BlueChoice Advantage HSA Compatible Gold Plan - $1,500 | POS | 100023022 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21295 | BlueChoice Advantage HSA Compatible Silver Plan - $1,500 | POS | 100023012 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21296 | BlueChoice Advantage HSA Compatible Silver Plan - $3,000 | POS | 100023017 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21297 | BlueChoice HMO Gold Plan - $1,000 | HMO | 100023082 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21298 | BlueChoice HMO Gold Plan - $1,000 | HMO | 100023081 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21299 | BlueChoice HMO Gold Plan - $1,500 | HMO | 100023096 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21300 | BlueChoice HMO Gold Plan - $500 | HMO | 100023053 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21301 | BlueChoice HMO Platinum Plan | HMO | 100023054 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21302 | BlueChoice HMO Silver Plan - $1,000 | HMO | 100023093 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21303 | BlueChoice HMO HDHP Bronze Plan - $6,500 | HMO | 100023055 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21304 | BlueChoice HMO HDHP Gold Plan - $1,000 | HMO | 100023400 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21305 | BlueChoice HMO HDHP Gold Plan - $1,500 | HMO | 100023085 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21306 | BlueChoice HMO HDHP Silver Plan - $1,500 | HMO | 100023061 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21307 | BlueChoice HMO HDHP Silver Plan - $2,000 | HMO | 100023395 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21308 | BlueChoice HMO HDHP Silver Plan - $2,000 | HMO | 100023067 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21309 | BlueChoice HMO HDHP Silver Plan - $2,000 SE | HMO | 100023076 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21310 | BlueChoice HMO HDHP Silver Plan - $3,000 | HMO | 100023071 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21311 | BlueChoice HMO HRA Integrated BlueFund Bronze Plan - $6,500 | HMO | 100023058 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21312 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 | HMO | 100023401 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21313 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 SE | HMO | 100023083 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21314 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,500 | HMO | 100023088 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21315 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $1,500 | HMO | 100023064 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21316 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100023070 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21317 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100023398 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21318 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 SE | HMO | 100023079 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21319 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $3,000 | HMO | 100023074 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21320 | BlueChoice HMO HRA Integrated Compatible Bronze Plan - $6,500 | HMO | 100023059 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21321 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 | HMO | 100023402 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21322 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 SE | HMO | 100023084 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21323 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,500 | HMO | 100023089 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21324 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $1,500 | HMO | 100023065 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21325 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100023066 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21326 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100023399 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21327 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 SE | HMO | 100023080 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21328 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $3,000 | HMO | 100023075 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21329 | BlueChoice HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100023097 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21330 | BlueChoice HMO HRA Non-Integrated BlueFund Silver Plan - $1,000 | HMO | 100023094 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21331 | BlueChoice HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100023098 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21332 | BlueChoice HMO HRA Non-Integrated Compatible Silver Plan - $1,000 | HMO | 100023095 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21333 | BlueChoice HMO HSA BlueFund Bronze Plan - $6,500 | HMO | 100023056 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21334 | BlueChoice HMO HSA BlueFund Gold Plan - $1,500 | HMO | 100023086 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21335 | BlueChoice HMO HSA BlueFund Silver Plan - $1,500 | HMO | 100023062 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21336 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100023396 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21337 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100023068 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21338 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 SE | HMO | 100023077 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21339 | BlueChoice HMO HSA BlueFund Silver Plan - $3,000 | HMO | 100023072 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21340 | BlueChoice HMO HSA Compatible Bronze Plan - $6,500 | HMO | 100023057 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21341 | BlueChoice HMO HSA Compatible Gold Plan - $1,500 | HMO | 100023087 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21342 | BlueChoice HMO HSA Compatible Silver Plan - $1,500 | HMO | 100023063 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21343 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 | HMO | 100023397 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21344 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 | HMO | 100023069 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21345 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 SE | HMO | 100023078 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21346 | BlueChoice HMO HSA Compatible Silver Plan - $3,000 | HMO | 100023073 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21347 | BlueChoice HMO HSA/HRA Silver Plan - $2,000 | HMO | 100023060 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21348 | BlueChoice HMO Referral Bronze Plan - $5,500 | HMO | 100023038 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21349 | BlueChoice HMO Referral Gold Plan | HMO | 100023090 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21350 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 100023091 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21351 | BlueChoice HMO Referral Platinum Plan | HMO | 100023092 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21352 | BlueChoice HMO Referral Platinum Plan - $1,000 | HMO | 100023050 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21353 | BlueChoice HMO Referral 70 Silver Plan - $2,000 | HMO | 100023041 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21354 | BlueChoice HMO Referral 70 HRA Non-Integrated BlueFund Silver Plan - $2,000 | HMO | 100023042 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21355 | BlueChoice HMO Referral 70 HRA Non-Integrated Compatible Silver Plan - $2,000 | HMO | 100023043 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21356 | BlueChoice HMO Referral 80 Gold Plan - $1,000 | HMO | 100023047 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21357 | BlueChoice HMO Referral 80 HRA Non-Integrated BlueFund Gold Plan - $1,000 | HMO | 100023048 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21358 | BlueChoice HMO Referral 80 HRA Non-Integrated Compatible Gold Plan - $1,000 | HMO | 100023049 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21359 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Bronze Plan - $5,500 | HMO | 100023039 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21360 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Platinum Plan - $1,000 | HMO | 100023051 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21361 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Silver Plan - $4,000 | HMO | 100023045 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21362 | BlueChoice HMO Referral HRA Non-Integrated Compatible Bronze Plan - $5,500 | HMO | 100023040 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21363 | BlueChoice HMO Referral HRA Non-Integrated Compatible Platinum Plan - $1,000 | HMO | 100023052 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21364 | BlueChoice HMO Referral HRA Non-Integrated Compatible Silver Plan - $4,000 | HMO | 100023046 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21365 | BlueChoice Plus Gold Plan - $1,000 | POS | 100023149 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21366 | BlueChoice Plus Gold Plan - $500 | POS | 100023152 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21367 | BlueChoice Plus HDHP Bronze Plan - $6,500 | POS | 100023134 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21368 | BlueChoice Plus HDHP Silver Plan - $1,500 | POS | 100023139 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21369 | BlueChoice Plus HDHP Silver Plan - $3,000 | POS | 100023144 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21370 | BlueChoice Plus HRA Integrated BlueFund Bronze Plan - $6,500 | POS | 100023137 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21371 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100023142 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21372 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100023147 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21373 | BlueChoice Plus HRA Integrated Compatible Bronze Plan - $6,500 | POS | 100023138 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21374 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $1,500 | POS | 100023143 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21375 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $3,000 | POS | 100023148 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21376 | BlueChoice Plus HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100023150 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21377 | BlueChoice Plus HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100023151 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21378 | BlueChoice Plus HSA BlueFund Bronze Plan - $6,500 | POS | 100023135 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21379 | BlueChoice Plus HSA BlueFund Silver Plan - $1,500 | POS | 100023140 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21380 | BlueChoice Plus HSA BlueFund Silver Plan - $3,000 | POS | 100023145 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Bronze | 21381 | BlueChoice Plus HSA Compatible Bronze Plan - $6,500 | POS | 100023136 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21382 | BlueChoice Plus HSA Compatible Silver Plan - $1,500 | POS | 100023141 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21383 | BlueChoice Plus HSA Compatible Silver Plan - $3,000 | POS | 100023146 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21384 | BlueChoice Plus Opt-Out Platinum Plan | POS | 100023133 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21385 | BluePreferred PPO 90/70 Gold Plan - $1,000 | PPO | 100023115 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21386 | BluePreferred PPO Gold Plan - $1,000 | PPO | 100023122 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21387 | BluePreferred PPO Gold Plan - $1,500 | PPO | 100023125 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21388 | BluePreferred PPO Gold Plan - $500 | PPO | 100023128 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21389 | BluePreferred PPO Platinum Plan | PPO | 100023131 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21390 | BluePreferred PPO Platinum Plan- $500 | PPO | 100023132 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21391 | BluePreferred PPO Silver Plan - $1,000 | PPO | 100023119 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21392 | BluePreferred PPO 100%/80% Platinum Plan | PPO | 100023403 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21393 | BluePreferred PPO 100%/80% Platinum Plan | PPO | 100023129 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21394 | BluePreferred PPO 100%/80% Platinum Plan - SE | PPO | 100023130 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21395 | BluePreferred PPO 90/70 Gold Plan - $1,000 SE | PPO | 100023116 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21396 | BluePreferred PPO 90/70 Gold Plan - $1,000 | PPO | 100023406 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21397 | BluePreferred PPO HDHP Silver Plan - $1,500 | PPO | 100023104 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21398 | BluePreferred PPO HDHP Silver Plan - $2,000 | PPO | 100023099 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21399 | BluePreferred PPO HDHP 80/60 Silver Plan - $2,000 | PPO | 100023407 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21400 | BluePreferred PPO HDHP 80/60 Silver Plan - $2,000 SE | PPO | 100023110 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21401 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $1,500 | PPO | 100023107 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21402 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100023102 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21403 | BluePreferred PPO HRA Integrated BlueFund 80/60 Silver Plan - $2,000 | PPO | 100023410 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21404 | BluePreferred PPO HRA Integrated BlueFund 80/60 Silver Plan - $2,000 SE | PPO | 100023113 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21405 | BluePreferred PPO HRA Integrated BlueFund 90/70 Gold Plan - $1,000 | PPO | 100023405 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21406 | BluePreferred PPO HRA Integrated BlueFund 90/70 Gold Plan - $1,000 SE | PPO | 100023118 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21407 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $1,500 | PPO | 100023108 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21408 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100023103 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21409 | BluePreferred PPO HRA Integrated Compatible 80/60 Silver Plan - $2,000 | PPO | 100023411 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21410 | BluePreferred PPO HRA Integrated Compatible 80/60 Silver Plan - $2,000 SE | PPO | 100023114 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21411 | BluePreferred PPO HRA Integrated Compatible 90/70 Gold Plan - $1,000 | PPO | 100023404 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21412 | BluePreferred PPO HRA Integrated Compatible 90/70 Gold Plan - $1,000 SE | PPO | 100023117 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21413 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,000 | PPO | 100023124 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21414 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100023127 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21415 | BluePreferred PPO HRA Non-Integrated BlueFund Silver Plan - $1,000 | PPO | 100023121 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21416 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,000 | PPO | 100023123 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21417 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100023126 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21418 | BluePreferred PPO HRA Non-Integrated Compatible Silver Plan - $1,000 | PPO | 100023120 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21419 | BluePreferred PPO HSA BlueFund Silver Plan - $1,500 | PPO | 100023105 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21420 | BluePreferred PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100023100 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21421 | BluePreferred PPO HSA BlueFund 80/60 Silver Plan - $2,000 | PPO | 100023408 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21422 | BluePreferred PPO HSA BlueFund 80/60 Silver Plan - $2,000 SE | PPO | 100023111 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21423 | BluePreferred PPO HSA Compatible Silver Plan - $1,500 | PPO | 100023106 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21424 | BluePreferred PPO HSA Compatible Silver Plan - $2,000 | PPO | 100023101 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21425 | BluePreferred PPO HSA Compatible 80/60 Silver Plan - $2,000 | PPO | 100023409 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21426 | BluePreferred PPO HSA Compatible 80/60 Silver Plan - $2,000 SE | PPO | 100023112 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21427 | BluePreferred PPO HSA/HRA 80/60 Silver Plan - $2,000 | PPO | 100023109 | ON-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21428 | HealthyBlue Advantage Gold Plan - $1,500 | POS | 100023170 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21429 | HealthyBlue Advantage Platinum Plan - $1,000 | POS | 100023173 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21430 | HealthyBlue Advantage Platinum Plan- $500 | POS | 100023176 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21431 | HealthyBlue Advantage HDHP Silver Plan - $2,000 | POS | 100023165 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21432 | HealthyBlue Advantage HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100023168 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21433 | HealthyBlue Advantage HRA Integrated Compatible Silver Plan - $2,000 | POS | 100023169 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21434 | HealthyBlue Advantage HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100023171 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21435 | HealthyBlue Advantage HRA Non-Integrated BlueFund Platinum Plan- $1,000 | POS | 100023174 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21436 | HealthyBlue Advantage HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100023172 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21437 | HealthyBlue Advantage HRA Non-Integrated Compatible Platinum Plan- $1,000 | POS | 100023175 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21438 | HealthyBlue Advantage HSA BlueFund Silver Plan - $2,000 | POS | 100023166 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21439 | HealthyBlue Advantage HSA Compatible Silver Plan - $2,000 | POS | 100023167 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21440 | HealthyBlue HMO Gold Plan - $1,500 | HMO | 100023182 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21441 | HealthyBlue HMO Platinum Plan - $1,000 | HMO | 100023185 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21442 | HealthyBlue HMO Platinum Plan- $500 | HMO | 100023188 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21443 | HealthyBlue HMO HDHP Silver Plan - $2,000 | HMO | 100023177 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21444 | HealthyBlue HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100023180 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21445 | HealthyBlue HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100023181 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21446 | HealthyBlue HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100023183 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21447 | HealthyBlue HMO HRA Non-Integrated BlueFund Platinum Plan- $1,000 | HMO | 100023186 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21448 | HealthyBlue HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100023184 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21449 | HealthyBlue HMO HRA Non-Integrated Compatible Platinum Plan- $1,000 | HMO | 100023187 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21450 | HealthyBlue HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100023178 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21451 | HealthyBlue HMO HSA Compatible Silver Plan - $2,000 | HMO | 100023179 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21452 | HealthyBlue Plus Gold Plan - $1,500 | POS | 100023158 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21453 | HealthyBlue Plus Platinum Plan - $1,000 | POS | 100023161 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21454 | HealthyBlue Plus Platinum Plan- $500 | POS | 100023164 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21455 | HealthyBlue Plus HDHP Silver Plan - $2,000 | POS | 100023153 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21456 | HealthyBlue Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100023156 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21457 | HealthyBlue Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100023157 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21458 | HealthyBlue Plus HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100023159 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21459 | HealthyBlue Plus HRA Non-Integrated BlueFund Platinum Plan- $1,000 | POS | 100023162 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21460 | HealthyBlue Plus HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100023160 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21461 | HealthyBlue Plus HRA Non-Integrated Compatible Platinum Plan- $1,000 | POS | 100023163 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21462 | HealthyBlue Plus HSA BlueFund Silver Plan - $2,000 | POS | 100023154 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21463 | HealthyBlue Plus HSA Compatible Silver Plan - $2,000 | POS | 100023155 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21464 | HealthyBlue PPO Gold Plan - $1,500 | PPO | 100023196 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21465 | HealthyBlue PPO Platinum Plan - $1,000 | PPO | 100023197 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21466 | HealthyBlue PPO Platinum Plan- $500 | PPO | 100023200 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21467 | HealthyBlue PPO HDHP Silver Plan - $2,000 | PPO | 100023189 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21468 | HealthyBlue PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100023192 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21469 | HealthyBlue PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100023193 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21470 | HealthyBlue PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100023195 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21471 | HealthyBlue PPO HRA Non-Integrated BlueFund Platinum Plan- $1,000 | PPO | 100023199 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Gold | 21472 | HealthyBlue PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100023194 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Platinum | 21473 | HealthyBlue PPO HRA Non-Integrated Compatible Platinum Plan- $1,000 | PPO | 100023198 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21474 | HealthyBlue PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100023190 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21475 | HealthyBlue PPO HSA Compatible Silver Plan - $2,000 | PPO | 100023191 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21476 | BlueChoice Advantage Silver Plan - $4,000 | POS | 100023028 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | M | Silver | 21477 | BlueChoice HMO Referral Silver Plan - $4,000 | HMO | 100023044 | OFF-SHOP |
Benefits
| 4/1/2017 | 12/31/2017 | CAF | |
| VA | D | N/A | 22000 | Classic Complete VA-2H/1R9G (With Ortho) | DEN | 1R9G | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22001 | Classic Complete VA-2D/1R9C (No Ortho) | DEN | 1R9C | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22002 | Classic Complete VA-2E/1R9D (No Ortho) | DEN | 1R9D | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22003 | Classic Complete VA-2AF/25SF (No Ortho) | DEN | 25SF | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22004 | Classic Complete VA-2AK/25SK (With Ortho) | DEN | 25SK | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22005 | Classic Complete VA-2AD/25SD (No Ortho) | DEN | 25SD | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22006 | Classic Complete VA-2AH/25SH (With Ortho) | DEN | 25SH | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22007 | Classic Complete VA-2P/1R9N (No Ortho) | DEN | 1R9N | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22008 | Classic Complete VA-2V/1R9U (With Ortho) | DEN | 1R9U | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22009 | Classic Complete VA-2T/1R9S (No Ortho) | DEN | 1R9S | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22010 | Classic Complete VA-2Q/1R9P (No Ortho) | DEN | 1R9P | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22011 | Classic Complete VA-2W/1R9V (With Ortho) | DEN | 1R9V | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22012 | Classic Complete VA-2U/1R9T (No Ortho) | DEN | 1R9T | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22013 | Enhanced Complete VA-3T/25RV (With Ortho) | DEN | 25RV | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22014 | Enhanced Complete VA-3S/25RU (No Ortho) | DEN | 25RU | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22015 | Value Complete VA-1A/1RA5 (No Ortho) | DEN | 1RA5 | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22016 | Value Complete VA-1B/1RA6 (No Ortho) | DEN | 1RA6 | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22017 | Value Complete VA-1C/1RA7 (No Ortho) | DEN | 1RA7 | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22018 | Voluntary Complete VA-4D/1RAB (No Ortho) | DEN | 1RAB | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22019 | Voluntary Complete VA-4F/268H (No Ortho) | DEN | 268H | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22020 | Voluntary Complete VA-4L/268N (With Ortho) | DEN | 268N | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22021 | Voluntary Complete VA-4P/268R (No Ortho) | DEN | 268R | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | D | N/A | 22022 | Voluntary Complete VA-4U/268W (With Ortho) | DEN | 268W | NA |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | V | None | 22500 | Anthem Blue View Vision Plan A1 | VIS | ORHR | N/A |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | V | None | 22501 | Anthem Blue View Vision Plan A3 | VIS | OUJ9 | N/A |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | V | None | 22502 | Anthem Blue View Vision Plan A4 | VIS | ORHS | N/A |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | V | None | 22503 | Anthem Blue View Vision Plan MO1 | VIS | OU28 | N/A |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | V | None | 22504 | Anthem Blue View Vision Plan MO2 | VIS | OU29 | N/A |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | V | None | 22505 | Anthem Blue View Vision Plan A1 (Vol) | VIS | ORHD | N/A |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | V | None | 22506 | Anthem Blue View Vision Plan A3 (Vol) | VIS | OUJ8 | N/A |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | V | None | 22507 | Anthem Blue View Vision Plan A4 (Vol) | VIS | ORHE | N/A |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | V | None | 22508 | Anthem Blue View Vision Plan MO1 (Vol) | VIS | OU2K | N/A |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | V | None | 22509 | Anthem Blue View Vision Plan MO2 (Vol) | VIS | OU2L | N/A |
Benefits
| 4/1/2017 | 12/31/2018 | ANT | |
| VA | V | None | 22550 | Anthem Blue View Vision Plan A1 | VIS | 0RHR | N/A |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | V | None | 22551 | Anthem Blue View Vision Plan B3 | VIS | 0RHV | N/A |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | V | None | 22552 | Anthem Blue View Vision Plan C3 | VIS | 0RJ0 | N/A |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | V | None | 22560 | Blue View Vision FS.A.10.0.130.130 | VIS | 4AHK | N/A |
Benefits
| 1/1/2020 | 12/31/2021 | ANT | |
| VA | V | None | 22561 | Blue View Vision FS.B.10.20.130.130 | VIS | 4BF7 | N/A |
Benefits
| 1/1/2020 | 12/31/2021 | ANT | |
| VA | V | None | 22562 | Blue View Vision FS.C.20.20.130.130 | VIS | 4BUP | N/A |
Benefits
| 1/1/2020 | 12/31/2021 | ANT | |
| VA | V | None | 22563 | Blue View Vision FS.A.10.20.130.130 | VIS | 4B2C | N/A |
Benefits
| 2/1/2020 | 12/31/2021 | ANT | |
| VA | V | None | 22564 | Blue View Vision FS.A.10.25.130.130 | VIS | 4B4Y | N/A |
Benefits
| 2/1/2020 | 12/31/2021 | ANT | |
| VA | M | Bronze | 22600 | Anthem HealthKeepers Bronze POS 5900/0%/6850 Plus | POS | 2T0J/2T0K | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Silver | 22601 | Anthem HealthKeepers Silver POS 2500/30%/5000 Plus | POS | 2T0Q/2T0P | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Bronze | 22602 | Anthem HealthKeepers Bronze POS 5000/40%/6550 w/HSA | POS | 2T0S/2T0U | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22603 | Anthem Gold PPO 30/30%/5500 | PPO | 2T0Y/2T0X | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22604 | Anthem HealthKeepers Gold OAPOS 30/30%/5500 | POS | 2T13/2T11 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22605 | Anthem HealthKeepers Gold OAPOS 15/0%/4000 | POS | 2T16/2T15 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22606 | Anthem Gold PPO 15/0%/4000 | PPO | 2T1A/2T19 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22607 | Anthem Gold PPO 1000/20%/3000 | PPO | 2T1F/2T1C | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22608 | Anthem HealthKeepers Gold OAPOS 1000/20%/3000 | POS | 2T1H/2T1K | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22609 | Anthem Gold PPO 2000/0%/3000 | PPO | 2T1N/2T1M | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22610 | Anthem HealthKeepers Gold OAPOS 2000/0%/3000 | POS | 2T1S/2T1R | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22611 | Anthem HealthKeepers Gold OAPOS 750/20%/4000 | POS | 2T1X/2T1U | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22612 | Anthem Gold PPO 750/20%/4000 | PPO | 2T21/2T1Z | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22613 | Anthem HealthKeepers Gold POS 1000/0%/5000 | POS | 2T23/2T25 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Silver | 22614 | Anthem HealthKeepers Silver POS 3500/0%/7000 | POS | 2T27/2T29 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Silver | 22615 | Anthem HealthKeepers Silver POS 3000/0%/5500 | POS | 2T2B/2T2D | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22616 | Anthem Gold PPO 1000/20%/4000 | PPO | 2T2G/2T2E | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22617 | Anthem HealthKeepers Gold OAPOS 1000/20%/4000 | POS | 2T2L/2T2K | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22618 | Anthem Gold PPO 500/20%/5000 | PPO | 2T2R/2T2P | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22619 | Anthem HealthKeepers Gold OAPOS 500/20%/5000 | POS | 2T2U/2T2T | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Silver | 22620 | Anthem Silver PPO 4000/20%/6850 | PPO | 2T2Z/2T2W | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Silver | 22621 | Anthem HealthKeepers Silver OAPOS 4000/20%/6850 | POS | 2T32/2T31 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Silver | 22622 | Anthem HealthKeepers Silver OAPOS 2000/50%/7250 | POS | 2T37/2T34 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Silver | 22623 | Anthem Silver PPO 2000/50%/7250 | PPO | 2T3B/2T38 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22624 | Anthem HealthKeepers Gold OAPOS 1500/20%/4000 | POS | 2T3F/2T3D | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22625 | Anthem Gold PPO 1500/20%/4000 | PPO | 2T3J/2T3G | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22626 | Anthem Gold PPO 1500/30%/4250 | PPO | 2T3N/2T3L | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22627 | Anthem HealthKeepers Gold OAPOS 1500/30%/4250 | POS | 2T3T/2T3Q | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22628 | Anthem HealthKeepers Gold OAPOS 2000/20%/3500 | POS | 2T3X/2T3V | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22629 | Anthem Gold PPO 2000/20%/3500 | PPO | 2T41/2T3Z | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Silver | 22630 | Anthem Silver PPO 2700/20%/4500 w/HSA | PPO | 2T43/2T45 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Silver | 22631 | Anthem HealthKeepers Silver OAPOS 2700/20%/4500 w/HSA | POS | 2T47/2T49 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Silver | 22632 | Anthem HealthKeepers Silver OAPOS 2700/30%/4750 w/HSA | POS | 2T4B/2T4D | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Silver | 22633 | Anthem Silver PPO 2700/30%/4750 w/HSA | PPO | 2T4F/2T4H | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22634 | Anthem HealthKeepers Gold POS 1000/20%/3000 Plus | POS | 2T4M/2T4K | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Silver | 22635 | Anthem HealthKeepers Silver POS 1500/35%/5500 Plus | POS | 2T4P/2T4Q | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Silver | 22636 | Anthem HealthKeepers Silver POS 3000/20%/5000 Plus | POS | 2T4T/2T4V | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Silver | 22637 | Anthem HealthKeepers Silver OAPOS 4000/0%/5000 w/HSA | POS | 2T4X/2T4Z | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Silver | 22638 | Anthem Silver PPO 4000/0%/5000 w/HSA | PPO | 2T51/2T53 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Silver | 22639 | Anthem Silver PPO 3500/0%/6550 w/HSA | PPO | 2T55/2T57 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Silver | 22640 | Anthem HealthKeepers Silver OAPOS 3500/0%/6550 w/HSA | POS | 2T5A/2T59 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22641 | Anthem HealthKeepers Gold POS 2000/0%/6000 | POS | 2T5D/2T5F | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22642 | Anthem Gold PPO 25/20%/4500 | PPO | 2T5H/2T5K | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22643 | Anthem HealthKeepers Gold OAPOS 25/20%/4500 | POS | 2T5M/2T5P | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Bronze | 22644 | Anthem HealthKeepers Bronze OAPOS 6550/0%/6550 w/HSA | POS | 2T5R/2T5T | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Bronze | 22645 | Anthem Bronze PPO 6550/0%/6550 w/HSA | PPO | 2T5V/2T5X | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22646 | Anthem HealthKeepers Gold Pathway OAPOS 25/20%/5000 | POS | 2T5Z/2T61 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22647 | Anthem HealthKeepers Gold Pathway OAPOS 20/0%/4500 | POS | 2T63/2T65 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22648 | Anthem HealthKeepers Gold Pathway OAPOS 1000/10%/6000 | POS | 2T6B/2T6D | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22649 | Anthem HealthKeepers Gold Pathway OAPOS 2000/20%/5000 | POS | 2T6F/2T6H | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Gold | 22650 | Anthem HealthKeepers Gold Pathway OAPOS 500/20%/6000 | POS | 2T6K/2T6M | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Silver | 22651 | Anthem HealthKeepers Silver Pathway OAPOS 3000/20%/6500 w/HSA | POS | 2T6P/2T6R | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Bronze | 22652 | Anthem HealthKeepers Bronze Pathway OAPOS 5000/30%/6550 w/HSA | POS | 2T6T/2T6V | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Platinum | 22653 | Anthem HealthKeepers Platinum OAPOS 10/0%/3000 | POS | 2T6X/2T6Z | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| VA | M | Platinum | 22654 | Anthem Platinum PPO 10/0%/3000 | PPO | 2T71/2T73 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | ANT | |
| DC | M | Gold | 23000 | BlueChoice Advantage Gold Plan - $500 | POS | 100024775 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Platinum | 23001 | BlueChoice Advantage Platinum Plan | POS | 100024776 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Bronze | 23002 | BlueChoice Advantage HDHP/HSA/HRA Bronze Plan - $6,000 | POS | 100024761 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Gold | 23003 | BlueChoice Advantage HDHP/HSA/HRA Gold Plan - $1,500 | POS | 100024770 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23004 | BlueChoice Advantage HDHP/HSA/HRA Silver Plan - $1,500 | POS | 100024763 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23005 | BlueChoice Advantage HDHP/HSA/HRA Silver Plan - $2,500 | POS | 100024767 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23006 | BlueChoice Advantage HDHP/HSA/HRA Silver Plan - $3,000 | POS | 100024765 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Bronze | 23007 | BlueChoice Advantage HRA-Standard Bronze Plan - $5,750 | POS | 100024772 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Gold | 23008 | BlueChoice Advantage HRA-Standard Gold Plan - $1,000 | POS | 100024774 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23009 | BlueChoice Advantage HRA-Standard Silver Plan - $4,000 | POS | 100024773 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23010 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100024769 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Gold | 23011 | BlueChoice HMO Gold Plan - $500 | HMO | 100024782 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Platinum | 23012 | BlueChoice HMO Platinum Plan | HMO | 100024783 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Bronze | 23013 | BlueChoice HMO HDHP/HSA/HRA Bronze Plan - $6,000 | HMO | 100024784 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Gold | 23014 | BlueChoice HMO HDHP/HSA/HRA Gold Plan - $1,500 | HMO | 100024794 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23015 | BlueChoice HMO HDHP/HSA/HRA Silver Plan - $1,500 | HMO | 100024786 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23016 | BlueChoice HMO HDHP/HSA/HRA Silver Plan - $2,000 | HMO | 100024788 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23017 | BlueChoice HMO HDHP/HSA/HRA Silver Plan - $2,500 | HMO | 100024792 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23018 | BlueChoice HMO HDHP/HSA/HRA Silver Plan - $3,000 | HMO | 100024790 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Gold | 23019 | BlueChoice HMO HRA-Standard Gold Plan - $1,500 | HMO | 100024800 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23020 | BlueChoice HMO HRA-Standard Silver Plan - $1,000 | HMO | 100024799 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Gold | 23021 | BlueChoice HMO Referral Gold Plan | HMO | 100024797 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Gold | 23022 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 100024796 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Platinum | 23023 | BlueChoice HMO Referral Platinum Plan | HMO | 100024798 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23024 | BlueChoice HMO Referral 70 HRA-Standard Silver Plan - $2,000 | HMO | 100024778 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Gold | 23025 | BlueChoice HMO Referral 80 HRA-Standard Gold Plan - $1,000 | HMO | 100024780 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Bronze | 23026 | BlueChoice HMO Referral HRA-Standard Bronze Plan - $5,750 | HMO | 100024777 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Platinum | 23027 | BlueChoice HMO Referral HRA-Standard Platinum Plan - $1,000 | HMO | 100024781 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23028 | BlueChoice HMO Referral HRA-Standard Silver Plan - $4,000 | HMO | 100024779 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Platinum | 23029 | BlueChoice Plus Opt-Out Platinum Plan | POS | 100024814 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Gold | 23030 | BlueChoice Plus Gold Plan - $500 | POS | 100024824 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Bronze | 23031 | BlueChoice Plus HDHP/HSA/HRA Bronze Plan - $6,000 | POS | 100024815 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23032 | BlueChoice Plus HDHP/HSA/HRA Silver Plan - $1,500 | POS | 100024817 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23033 | BlueChoice Plus HDHP/HSA/HRA Silver Plan - $2,500 | POS | 100024821 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23034 | BlueChoice Plus HDHP/HSA/HRA Silver Plan - $3,000 | POS | 100024819 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Gold | 23035 | BlueChoice Plus HRA-Standard Gold Plan - $1,000 | POS | 100024823 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Gold | 23036 | BluePreferred PPO Gold Plan - $500 | PPO | 100024811 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Platinum | 23037 | BluePreferred PPO Platinum Plan | PPO | 100024812 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Platinum | 23038 | BluePreferred PPO Platinum Plan- $500 | PPO | 100024813 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Gold | 23039 | BluePreferred PPO 90/70 HRA Gold Plan - $1,000 | PPO | 100024807 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23040 | BluePreferred PPO HDHP/HSA/HRA Silver Plan - $1,500 | PPO | 100024801 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23041 | BluePreferred PPO HDHP/HSA/HRA Silver Plan - $2,000 | PPO | 100024803 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23042 | BluePreferred PPO HDHP/HSA/HRA 80/60 Silver Plan - $2,000 | PPO | 100024805 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Gold | 23043 | BluePreferred PPO HRA-Standard Gold Plan - $1,000 | PPO | 100024809 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Gold | 23044 | BluePreferred PPO HRA-Standard Gold Plan - $1,500 | PPO | 100024810 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23045 | BluePreferred PPO HRA-Standard Silver Plan - $1,000 | PPO | 100024808 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23046 | BluePreferred PPO HSA BlueFund Silver Plan - $1,500 | PPO | 100024806 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Platinum | 23047 | HealthyBlue Advantage Platinum Plan- $500 | POS | 100024834 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23048 | HealthyBlue Advantage HDHP/HSA/HRA Silver Plan - $2,000 | POS | 100024830 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Gold | 23049 | HealthyBlue Advantage HRA-Standard Gold Plan - $1,500 | POS | 100024832 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Platinum | 23050 | HealthyBlue Advantage HRA-Standard Platinum Plan - $1,000 | POS | 100024833 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Platinum | 23051 | HealthyBlue HMO Platinum Plan- $500 | HMO | 100024839 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23052 | HealthyBlue HMO HDHP/HSA/HRA Silver Plan - $2,000 | HMO | 100024835 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Gold | 23053 | HealthyBlue HMO HRA-Standard Gold Plan - $1,500 | HMO | 100024837 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Platinum | 23054 | HealthyBlue HMO HRA-Standard Platinum Plan - $1,000 | HMO | 100024838 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Platinum | 23055 | HealthyBlue Plus Platinum Plan- $500 | POS | 100024829 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23056 | HealthyBlue Plus HDHP/HSA/HRA Silver Plan - $2,000 | POS | 100024825 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Gold | 23057 | HealthyBlue Plus HRA-Standard Gold Plan - $1,500 | POS | 100024827 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Platinum | 23058 | HealthyBlue Plus HRA-Standard Platinum Plan - $1,000 | POS | 100024828 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Platinum | 23059 | HealthyBlue PPO Platinum Plan- $500 | PPO | 100024844 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Silver | 23060 | HealthyBlue PPO HDHP/HSA/HRA Silver Plan - $2,000 | PPO | 100024840 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Gold | 23061 | HealthyBlue PPO HRA-Standard Gold Plan - $1,500 | PPO | 100024842 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| DC | M | Platinum | 23062 | HealthyBlue PPO HRA-Standard Platinum Plan - $1,000 | PPO | 100024843 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23063 | BlueChoice Advantage Bronze Plan - $5,750 | POS | 100024904 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23064 | BlueChoice Advantage Gold Plan - $1,000 | POS | 100024910 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23065 | BlueChoice Advantage Gold Plan - $500 | POS | 100024915 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23066 | BlueChoice Advantage Platinum Plan | POS | 100024916 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23067 | BlueChoice Advantage Silver Plan - $4,000 | POS | 100024907 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23068 | BlueChoice Advantage HDHP Bronze Plan - $6,000 | POS | 100024870 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23069 | BlueChoice Advantage HDHP Gold Plan - $1,500 | POS | 100024890 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23070 | BlueChoice Advantage HDHP Silver Plan - $1,500 | POS | 100024875 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23071 | BlueChoice Advantage HDHP Silver Plan - $2,500 | POS | 100024885 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23072 | BlueChoice Advantage HDHP Silver Plan - $3,000 | POS | 100024880 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23073 | BlueChoice Advantage HRA Integrated BlueFund Bronze Plan - $6,000 | POS | 100024873 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23074 | BlueChoice Advantage HRA Integrated BlueFund Gold Plan - $1,500 | POS | 100024893 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23075 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100024878 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23076 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $2,500 | POS | 100024888 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23077 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100024883 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23078 | BlueChoice Advantage HRA Integrated Compatible Bronze Plan - $6,000 | POS | 100024874 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23079 | BlueChoice Advantage HRA Integrated Compatible Gold Plan - $1,500 | POS | 100024894 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23080 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $1,500 | POS | 100024879 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23081 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $2,500 | POS | 100024889 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23082 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $3,000 | POS | 100024884 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23083 | BlueChoice Advantage HRA Non-Integrated BlueFund Bronze Plan - $5,750 | POS | 100024905 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23084 | BlueChoice Advantage HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100024911 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23085 | BlueChoice Advantage HRA Non-Integrated BlueFund Silver Plan - $4,000 | POS | 100024908 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23086 | BlueChoice Advantage HRA Non-Integrated Compatible Bronze Plan - $5,750 | POS | 100024906 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23087 | BlueChoice Advantage HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100024912 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23088 | BlueChoice Advantage HRA Non-Integrated Compatible Silver Plan - $4,000 | POS | 100024909 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23089 | BlueChoice Advantage HSA BlueFund Bronze Plan - $6,000 | POS | 100024871 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23090 | BlueChoice Advantage HSA BlueFund Gold Plan - $1,500 | POS | 100024891 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23091 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100024876 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23092 | BlueChoice Advantage HSA BlueFund Silver Plan - $2,500 | POS | 100024886 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23093 | BlueChoice Advantage HSA BlueFund Silver Plan - $3,000 | POS | 100024881 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23094 | BlueChoice Advantage HSA Compatible Bronze Plan - $6,000 | POS | 100024872 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23095 | BlueChoice Advantage HSA Compatible Gold Plan - $1,500 | POS | 100024892 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23096 | BlueChoice Advantage HSA Compatible Silver Plan - $1,500 | POS | 100024877 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23097 | BlueChoice Advantage HSA Compatible Silver Plan - $2,500 | POS | 100024887 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23098 | BlueChoice Advantage HSA Compatible Silver Plan - $3,000 | POS | 100024882 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23099 | BlueChoice HMO Gold Plan - $1,000 | HMO | 100024972 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23100 | BlueChoice HMO Gold Plan - $1,000 | HMO | 100024971 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23101 | BlueChoice HMO Gold Plan - $1,500 | HMO | 100024986 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23102 | BlueChoice HMO Gold Plan - $500 | HMO | 100024938 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23103 | BlueChoice HMO Platinum Plan | HMO | 100024939 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23104 | BlueChoice HMO Silver Plan - $1,000 | HMO | 100024983 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23105 | BlueChoice HMO HDHP Bronze Plan - $6,000 | HMO | 100024940 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23106 | BlueChoice HMO HDHP Gold Plan - $1,500 | HMO | 100024975 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23107 | BlueChoice HMO HDHP Silver Plan - $1,500 | HMO | 100024951 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23108 | BlueChoice HMO HDHP Silver Plan - $2,000 (Rx $10/$45/$65) | HMO | 100024966 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23109 | BlueChoice HMO HDHP Silver Plan - $2,000 (Rx $10/20%/40%) | HMO | 100024946 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23110 | BlueChoice HMO HDHP Silver Plan - $2,500 | HMO | 100024961 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23111 | BlueChoice HMO HDHP Silver Plan - $3,000 | HMO | 100024956 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23112 | BlueChoice HMO HRA Integrated BlueFund Bronze Plan - $6,000 | HMO | 100024943 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23113 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 | HMO | 100024973 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23114 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,500 | HMO | 100024978 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23115 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $1,500 | HMO | 100024954 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23116 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 (Rx $10/20%/40%) | HMO | 100024949 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23117 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 (Rx $10/$45/$65) | HMO | 100024969 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23118 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,500 | HMO | 100024964 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23119 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $3,000 | HMO | 100024959 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23120 | BlueChoice HMO HRA Integrated Compatible Bronze Plan - $6,000 | HMO | 100024944 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23121 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 | HMO | 100024974 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23122 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,500 | HMO | 100024979 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23123 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $1,500 | HMO | 100024955 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23124 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 (Rx $10/$45/$65) | HMO | 100024970 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23125 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 (Rx $10/20%/40%) | HMO | 100024950 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23126 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,500 | HMO | 100024965 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23127 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $3,000 | HMO | 100024960 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23128 | BlueChoice HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100024987 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23129 | BlueChoice HMO HRA Non-Integrated BlueFund Silver Plan - $1,000 | HMO | 100024984 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23130 | BlueChoice HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100024988 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23131 | BlueChoice HMO HRA Non-Integrated Compatible Silver Plan - $1,000 | HMO | 100024985 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23132 | BlueChoice HMO HSA BlueFund Bronze Plan - $6,000 | HMO | 100024941 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23133 | BlueChoice HMO HSA BlueFund Gold Plan - $1,500 | HMO | 100024976 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23134 | BlueChoice HMO HSA BlueFund Silver Plan - $1,500 | HMO | 100024952 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23135 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 (Rx $10/20%/40%) | HMO | 100024947 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23136 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 (Rx $10/$45/$65) | HMO | 100024967 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23137 | BlueChoice HMO HSA BlueFund Silver Plan - $2,500 | HMO | 100024962 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23138 | BlueChoice HMO HSA BlueFund Silver Plan - $3,000 | HMO | 100024957 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23139 | BlueChoice HMO HSA Compatible Bronze Plan - $6,000 | HMO | 100024942 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23140 | BlueChoice HMO HSA Compatible Gold Plan - $1,500 | HMO | 100024977 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23141 | BlueChoice HMO HSA Compatible Silver Plan - $1,500 | HMO | 100024953 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23142 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 (Rx $10/$45/$65) | HMO | 100024968 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23143 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 (Rx $10/20%/40%) | HMO | 100024948 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23144 | BlueChoice HMO HSA Compatible Silver Plan - $2,500 | HMO | 100024963 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23145 | BlueChoice HMO HSA Compatible Silver Plan - $3,000 | HMO | 100024958 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23146 | BlueChoice HMO HSA/HRA Silver Plan - $2,000 | HMO | 100024945 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23147 | BlueChoice HMO Referral Bronze Plan - $5,750 | HMO | 100024923 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23148 | BlueChoice HMO Referral Gold Plan | HMO | 100024981 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23149 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 100024980 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23150 | BlueChoice HMO Referral Platinum Plan | HMO | 100024982 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23151 | BlueChoice HMO Referral Platinum Plan - $1,000 | HMO | 100024935 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23152 | BlueChoice HMO Referral Silver Plan - $4,000 | HMO | 100024931 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23153 | BlueChoice HMO Referral 70 Silver Plan - $2,000 | HMO | 100024926 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23154 | BlueChoice HMO Referral 70 HRA Non-Integrated BlueFund Silver Plan - $2,000 | HMO | 100024927 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23155 | BlueChoice HMO Referral 70 HRA Non-Integrated Compatible Silver Plan - $2,000 | HMO | 100024928 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23156 | BlueChoice HMO Referral 80 Gold Plan - $1,000 | HMO | 100024932 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23157 | BlueChoice HMO Referral 80 HRA Non-Integrated BlueFund Gold Plan - $1,000 | HMO | 100024933 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23158 | BlueChoice HMO Referral 80 HRA Non-Integrated Compatible Gold Plan - $1,000 | HMO | 100024934 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23159 | BlueChoice HMO Referral HDHP Bronze Plan - $5,500 | HMO | 100024918 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23160 | BlueChoice HMO Referral HRA Integrated BlueFund Bronze Plan - $5,500 | HMO | 100024921 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23161 | BlueChoice HMO Referral HRA Integrated Compatible Bronze Plan - $5,500 | HMO | 100024922 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23162 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Bronze Plan - $5,750 | HMO | 100024924 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23163 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Platinum Plan - $1,000 | HMO | 100024936 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23164 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Silver Plan - $4,000 | HMO | 100024929 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23165 | BlueChoice HMO Referral HRA Non-Integrated Compatible Bronze Plan - $5,750 | HMO | 100024925 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23166 | BlueChoice HMO Referral HRA Non-Integrated Compatible Platinum Plan - $1,000 | HMO | 100024937 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23167 | BlueChoice HMO Referral HRA Non-Integrated Compatible Silver Plan - $4,000 | HMO | 100024930 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23168 | BlueChoice HMO Referral HSA BlueFund Bronze Plan - $5,500 | HMO | 100024919 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23169 | BlueChoice HMO Referral HSA Compatible Bronze Plan - $5,500 | HMO | 100024920 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23170 | BlueChoice HMO Referral HSA/HRA Bronze Plan - $5,500 | HMO | 100024917 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23171 | BlueChoice Plus Opt-Out Platinum Plan | POS | 100025065 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23172 | BlueChoice Plus Gold Plan - $1,000 | POS | 100025109 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23173 | BlueChoice Plus Gold Plan - $500 | POS | 100025113 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23174 | BlueChoice Plus HDHP Bronze Plan - $6,000 | POS | 100025086 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23175 | BlueChoice Plus HDHP Silver Plan - $1,500 | POS | 100025091 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23176 | BlueChoice Plus HDHP Silver Plan - $2,500 | POS | 100025101 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23177 | BlueChoice Plus HDHP Silver Plan - $3,000 | POS | 100025096 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23178 | BlueChoice Plus HRA Integrated BlueFund Bronze Plan - $6,000 | POS | 100025089 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23179 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100025094 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23180 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $2,500 | POS | 100025104 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23181 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100025099 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23182 | BlueChoice Plus HRA Integrated Compatible Bronze Plan - $6,000 | POS | 100025090 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23183 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $1,500 | POS | 100025095 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23184 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $2,500 | POS | 100025105 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23185 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $3,000 | POS | 100025100 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23186 | BlueChoice Plus HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100025110 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23187 | BlueChoice Plus HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100025111 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23188 | BlueChoice Plus HSA BlueFund Bronze Plan - $6,000 | POS | 100025087 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23189 | BlueChoice Plus HSA BlueFund Silver Plan - $1,500 | POS | 100025092 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23190 | BlueChoice Plus HSA BlueFund Silver Plan - $2,500 | POS | 100025102 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23191 | BlueChoice Plus HSA BlueFund Silver Plan - $3,000 | POS | 100025097 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23192 | BlueChoice Plus HSA Compatible Bronze Plan - $6,000 | POS | 100025088 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23193 | BlueChoice Plus HSA Compatible Silver Plan - $1,500 | POS | 100025093 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23194 | BlueChoice Plus HSA Compatible Silver Plan - $2,500 | POS | 100025103 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23195 | BlueChoice Plus HSA Compatible Silver Plan - $3,000 | POS | 100025098 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23196 | BluePreferred PPO Gold Plan - $1,000 | PPO | 100025053 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23197 | BluePreferred PPO Gold Plan - $1,500 | PPO | 100025056 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23198 | BluePreferred PPO Gold Plan - $500 | PPO | 100025062 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23199 | BluePreferred PPO Platinum Plan | PPO | 100025063 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23200 | BluePreferred PPO Platinum Plan- $500 | PPO | 100025064 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23201 | BluePreferred PPO Silver Plan - $1,000 | PPO | 100025050 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23202 | BluePreferred PPO 90/70 Gold Plan - $1,000 | PPO | 100025038 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23203 | BluePreferred PPO 90/70 Gold Plan - $1,000 | PPO | 100025037 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23204 | BluePreferred PPO HDHP Bronze Plan - $5,500 | PPO | 100025016 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23205 | BluePreferred PPO HDHP Silver Plan - $1,500 | PPO | 100025027 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23206 | BluePreferred PPO HDHP Silver Plan - $2,000 | PPO | 100025032 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23207 | BluePreferred PPO HDHP 80/60 Silver Plan - $2,000 | PPO | 100025022 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23208 | BluePreferred PPO HRA Integrated BlueFund Bronze Plan - $5,500 | PPO | 100025019 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23209 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $1,500 | PPO | 100025030 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23210 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100025035 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23211 | BluePreferred PPO HRA Integrated BlueFund 80/60 Silver Plan - $2,000 | PPO | 100025025 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23212 | BluePreferred PPO HRA Integrated BlueFund 90/70 Gold Plan - $1,000 | PPO | 100025040 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23213 | BluePreferred PPO HRA Integrated Compatible Bronze Plan - $5,500 | PPO | 100025020 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23214 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $1,500 | PPO | 100025031 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23215 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100025036 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23216 | BluePreferred PPO HRA Integrated Compatible 80/60 Silver Plan - $2,000 | PPO | 100025026 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23217 | BluePreferred PPO HRA Integrated Compatible 90/70 Gold Plan - $1,000 | PPO | 100025039 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23218 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,000 | PPO | 100025055 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23219 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100025058 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23220 | BluePreferred PPO HRA Non-Integrated BlueFund Silver Plan - $1,000 | PPO | 100025052 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23221 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,000 | PPO | 100025054 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23222 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100025057 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23223 | BluePreferred PPO HRA Non-Integrated Compatible Silver Plan - $1,000 | PPO | 100025051 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23224 | BluePreferred PPO HSA BlueFund Bronze Plan - $5,500 | PPO | 100025017 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23225 | BluePreferred PPO HSA BlueFund Silver Plan - $1,500 | PPO | 100025028 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23226 | BluePreferred PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100025033 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23227 | BluePreferred PPO HSA BlueFund 80/60 Silver Plan - $2,000 | PPO | 100025023 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23228 | BluePreferred PPO HSA Compatible Bronze Plan - $5,500 | PPO | 100025018 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23229 | BluePreferred PPO HSA Compatible Silver Plan - $1,500 | PPO | 100025029 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23230 | BluePreferred PPO HSA Compatible Silver Plan - $2,000 | PPO | 100025034 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23231 | BluePreferred PPO HSA Compatible 80/60 Silver Plan - $2,000 | PPO | 100025024 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Bronze | 23232 | BluePreferred PPO HSA/HRA Bronze Plan - $5,500 | PPO | 100025015 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23233 | BluePreferred PPO HSA/HRA 80/60 Silver Plan - $2,000 | PPO | 100025021 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23234 | HealthyBlue Advantage Gold Plan - $1,500 | POS | 100025154 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23235 | HealthyBlue Advantage Platinum Plan - $1,000 | POS | 100025157 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23236 | HealthyBlue Advantage Platinum Plan- $500 | POS | 100025161 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23237 | HealthyBlue Advantage HDHP Silver Plan - $2,000 | POS | 100025143 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23238 | HealthyBlue Advantage HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100025146 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23239 | HealthyBlue Advantage HRA Integrated Compatible Silver Plan - $2,000 | POS | 100025147 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23240 | HealthyBlue Advantage HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100025155 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23241 | HealthyBlue Advantage HRA Non-Integrated BlueFund Platinum Plan - $1,000 | POS | 100025158 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23242 | HealthyBlue Advantage HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100025156 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23243 | HealthyBlue Advantage HRA Non-Integrated Compatible Platinum Plan - $1,000 | POS | 100025159 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23244 | HealthyBlue Advantage HSA BlueFund Silver Plan - $2,000 | POS | 100025144 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23245 | HealthyBlue Advantage HSA Compatible Silver Plan - $2,000 | POS | 100025145 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23246 | HealthyBlue HMO Gold Plan - $1,500 | HMO | 100025167 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23247 | HealthyBlue HMO Platinum Plan - $1,000 | HMO | 100025170 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23248 | HealthyBlue HMO Platinum Plan- $500 | HMO | 100025173 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23249 | HealthyBlue HMO HDHP Silver Plan - $2,000 | HMO | 100025162 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23250 | HealthyBlue HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100025165 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23251 | HealthyBlue HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100025166 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23252 | HealthyBlue HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100025168 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23253 | HealthyBlue HMO HRA Non-Integrated BlueFund Platinum Plan - $1,000 | HMO | 100025171 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23254 | HealthyBlue HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100025169 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23255 | HealthyBlue HMO HRA Non-Integrated Compatible Platinum Plan - $1,000 | HMO | 100025172 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23256 | HealthyBlue HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100025163 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23257 | HealthyBlue HMO HSA Compatible Silver Plan - $2,000 | HMO | 100025164 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23258 | HealthyBlue Plus Gold Plan - $1,500 | POS | 100025130 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23259 | HealthyBlue Plus Platinum Plan - $1,000 | POS | 100025133 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23260 | HealthyBlue Plus Platinum Plan- $500 | POS | 100025137 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23261 | HealthyBlue Plus HDHP Silver Plan - $2,000 | POS | 100025119 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23262 | HealthyBlue Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100025122 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23263 | HealthyBlue Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100025123 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23264 | HealthyBlue Plus HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100025131 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23265 | HealthyBlue Plus HRA Non-Integrated BlueFund Platinum Plan - $1,000 | POS | 100025134 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23266 | HealthyBlue Plus HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100025132 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23267 | HealthyBlue Plus HRA Non-Integrated Compatible Platinum Plan - $1,000 | POS | 100025135 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23268 | HealthyBlue Plus HSA BlueFund Silver Plan - $2,000 | POS | 100025120 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23269 | HealthyBlue Plus HSA Compatible Silver Plan - $2,000 | POS | 100025121 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23270 | HealthyBlue PPO Gold Plan - $1,500 | PPO | 100025192 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23271 | HealthyBlue PPO Platinum Plan - $1,000 | PPO | 100025193 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23272 | HealthyBlue PPO Platinum Plan- $500 | PPO | 100025197 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23273 | HealthyBlue PPO HDHP Silver Plan - $2,000 | PPO | 100025179 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23274 | HealthyBlue PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100025182 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23275 | HealthyBlue PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100025183 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23276 | HealthyBlue PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100025191 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23277 | HealthyBlue PPO HRA Non-Integrated BlueFund Platinum Plan - $1,000 | PPO | 100025195 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Gold | 23278 | HealthyBlue PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100025190 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 23279 | HealthyBlue PPO HRA Non-Integrated Compatible Platinum Plan - $1,000 | PPO | 100025194 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23280 | HealthyBlue PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100025180 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Silver | 23281 | HealthyBlue PPO HSA Compatible Silver Plan - $2,000 | PPO | 100025181 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23282 | BlueChoice Advantage Bronze Plan - $5,750 | POS | 100025223 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23283 | BlueChoice Advantage Gold Plan - $1,000 | POS | 100025229 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23284 | BlueChoice Advantage Gold Plan - $500 | POS | 100025232 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23285 | BlueChoice Advantage Platinum Plan | POS | 100025233 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23286 | BlueChoice Advantage Silver Plan - $4,000 | POS | 100025226 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23287 | BlueChoice Advantage 90%/70% Platinum Plan | POS | 100025236 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23288 | BlueChoice Advantage 90%/70% Platinum Plan | POS | 100025234 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23289 | BlueChoice Advantage 90%/70% Platinum Plan SE | POS | 100025235 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23290 | BlueChoice Advantage HDHP Bronze Plan - $6,000 | POS | 100025198 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23291 | BlueChoice Advantage HDHP Gold Plan - $1,500 | POS | 100025218 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23292 | BlueChoice Advantage HDHP Silver Plan - $1,500 | POS | 100025203 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23293 | BlueChoice Advantage HDHP Silver Plan - $2,500 | POS | 100025213 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23294 | BlueChoice Advantage HDHP Silver Plan - $3,000 | POS | 100025208 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23295 | BlueChoice Advantage HRA Integrated BlueFund Bronze Plan - $6,000 | POS | 100025201 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23296 | BlueChoice Advantage HRA Integrated BlueFund Gold Plan - $1,500 | POS | 100025221 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23297 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100025206 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23298 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $2,500 | POS | 100025216 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23299 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100025211 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23300 | BlueChoice Advantage HRA Integrated Compatible Bronze Plan - $6,000 | POS | 100025202 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23301 | BlueChoice Advantage HRA Integrated Compatible Gold Plan - $1,500 | POS | 100025222 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23302 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $1,500 | POS | 100025207 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23303 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $2,500 | POS | 100025217 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23304 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $3,000 | POS | 100025212 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23305 | BlueChoice Advantage HRA Non-Integrated BlueFund Bronze Plan - $5,750 | POS | 100025224 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23306 | BlueChoice Advantage HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100025230 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23307 | BlueChoice Advantage HRA Non-Integrated BlueFund Silver Plan - $4,000 | POS | 100025227 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23308 | BlueChoice Advantage HRA Non-Integrated Compatible Bronze Plan - $5,750 | POS | 100025225 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23309 | BlueChoice Advantage HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100025231 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23310 | BlueChoice Advantage HRA Non-Integrated Compatible Silver Plan - $4,000 | POS | 100025228 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23311 | BlueChoice Advantage HSA BlueFund Bronze Plan - $6,000 | POS | 100025199 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23312 | BlueChoice Advantage HSA BlueFund Gold Plan - $1,500 | POS | 100025219 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23313 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100025204 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23314 | BlueChoice Advantage HSA BlueFund Silver Plan - $2,500 | POS | 100025214 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23315 | BlueChoice Advantage HSA BlueFund Silver Plan - $3,000 | POS | 100025209 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23316 | BlueChoice Advantage HSA Compatible Bronze Plan - $6,000 | POS | 100025200 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23317 | BlueChoice Advantage HSA Compatible Gold Plan - $1,500 | POS | 100025220 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23318 | BlueChoice Advantage HSA Compatible Silver Plan - $1,500 | POS | 100025205 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23319 | BlueChoice Advantage HSA Compatible Silver Plan - $2,500 | POS | 100025215 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23320 | BlueChoice Advantage HSA Compatible Silver Plan - $3,000 | POS | 100025210 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23321 | BlueChoice HMO Gold Plan - $1,000 | HMO | 100025291 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23322 | BlueChoice HMO Gold Plan - $1,000 | HMO | 100025290 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23323 | BlueChoice HMO Gold Plan - $1,500 | HMO | 100025308 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23324 | BlueChoice HMO Gold Plan - $500 | HMO | 100025252 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23325 | BlueChoice HMO Platinum Plan | HMO | 100025253 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23326 | BlueChoice HMO Silver Plan - $1,000 | HMO | 100025305 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23327 | BlueChoice HMO HDHP Bronze Plan - $6,000 | HMO | 100025254 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23328 | BlueChoice HMO HDHP Gold Plan - $1,000 | HMO | 100025299 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23329 | BlueChoice HMO HDHP Gold Plan - $1,500 | HMO | 100025294 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23330 | BlueChoice HMO HDHP Silver Plan - $1,500 | HMO | 100025265 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23331 | BlueChoice HMO HDHP Silver Plan - $2,000 (Rx $10/$45/$65) | HMO | 100025271 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23332 | BlueChoice HMO HDHP Silver Plan - $2,000 (Rx $10/20%/40%) | HMO | 100025285 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23333 | BlueChoice HMO HDHP Silver Plan - $2,000 SE | HMO | 100025260 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23334 | BlueChoice HMO HDHP Silver Plan - $2,500 | HMO | 100025280 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23335 | BlueChoice HMO HDHP Silver Plan - $3,000 | HMO | 100025275 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23336 | BlueChoice HMO HRA Integrated BlueFund Bronze Plan - $6,000 | HMO | 100025257 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23337 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 | HMO | 100025300 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23338 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 SE | HMO | 100025292 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23339 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,500 | HMO | 100025297 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23340 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $1,500 | HMO | 100025268 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23341 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 (Rx $10/$45/$65) | HMO | 100025274 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23342 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 (Rx $10/20%/40%) | HMO | 100025288 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23343 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 SE | HMO | 100025263 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23344 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,500 | HMO | 100025283 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23345 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $3,000 | HMO | 100025278 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23346 | BlueChoice HMO HRA Integrated Compatible Bronze Plan - $6,000 | HMO | 100025258 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23347 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 | HMO | 100025301 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23348 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 SE | HMO | 100025293 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23349 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,500 | HMO | 100025298 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23350 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $1,500 | HMO | 100025269 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23351 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 (Rx $10/20%/40%) | HMO | 100025289 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23352 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 (Rx $10/$45/$65) | HMO | 100025270 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23353 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 SE | HMO | 100025264 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23354 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,500 | HMO | 100025284 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23355 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $3,000 | HMO | 100025279 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23356 | BlueChoice HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100025309 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23357 | BlueChoice HMO HRA Non-Integrated BlueFund Silver Plan - $1,000 | HMO | 100025306 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23358 | BlueChoice HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100025310 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23359 | BlueChoice HMO HRA Non-Integrated Compatible Silver Plan - $1,000 | HMO | 100025307 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23360 | BlueChoice HMO HSA BlueFund Bronze Plan - $6,000 | HMO | 100025255 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23361 | BlueChoice HMO HSA BlueFund Gold Plan - $1,500 | HMO | 100025295 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23362 | BlueChoice HMO HSA BlueFund Silver Plan - $1,500 | HMO | 100025266 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23363 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 (Rx $10/20%/40%) | HMO | 100025286 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23364 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 (Rx $10/$45/$65) | HMO | 100025272 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23365 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 SE | HMO | 100025261 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23366 | BlueChoice HMO HSA BlueFund Silver Plan - $2,500 | HMO | 100025281 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23367 | BlueChoice HMO HSA BlueFund Silver Plan - $3,000 | HMO | 100025276 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23368 | BlueChoice HMO HSA Compatible Bronze Plan - $6,000 | HMO | 100025256 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23369 | BlueChoice HMO HSA Compatible Gold Plan - $1,500 | HMO | 100025296 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23370 | BlueChoice HMO HSA Compatible Silver Plan - $1,500 | HMO | 100025267 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23371 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 (Rx $10/$45/$65) | HMO | 100025273 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23372 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 (Rx $10/20%/40%) | HMO | 100025287 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23373 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 SE | HMO | 100025262 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23374 | BlueChoice HMO HSA Compatible Silver Plan - $2,500 | HMO | 100025282 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23375 | BlueChoice HMO HSA Compatible Silver Plan - $3,000 | HMO | 100025277 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23376 | BlueChoice HMO HSA/HRA Silver Plan - $2,000 | HMO | 100025259 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23377 | BlueChoice HMO Referral Bronze Plan - $5,750 | HMO | 100025237 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23378 | BlueChoice HMO Referral Gold Plan | HMO | 100025302 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23379 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 100025303 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23380 | BlueChoice HMO Referral Platinum Plan | HMO | 100025304 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23381 | BlueChoice HMO Referral Platinum Plan - $1,000 | HMO | 100025249 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23382 | BlueChoice HMO Referral Silver Plan - $4,000 | HMO | 100025243 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23383 | BlueChoice HMO Referral 70 Silver Plan - $2,000 | HMO | 100025240 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23384 | BlueChoice HMO Referral 70 HRA Non-Integrated BlueFund Silver Plan - $2,000 | HMO | 100025241 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23385 | BlueChoice HMO Referral 70 HRA Non-Integrated Compatible Silver Plan - $2,000 | HMO | 100025242 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23386 | BlueChoice HMO Referral 80 Gold Plan - $1,000 | HMO | 100025246 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23387 | BlueChoice HMO Referral 80 HRA Non-Integrated BlueFund Gold Plan - $1,000 | HMO | 100025247 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23388 | BlueChoice HMO Referral 80 HRA Non-Integrated Compatible Gold Plan - $1,000 | HMO | 100025248 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23389 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Bronze Plan - $5,750 | HMO | 100025238 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23390 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Platinum Plan - $1,000 | HMO | 100025250 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23391 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Silver Plan - $4,000 | HMO | 100025244 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23392 | BlueChoice HMO Referral HRA Non-Integrated Compatible Bronze Plan - $5,750 | HMO | 100025239 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23393 | BlueChoice HMO Referral HRA Non-Integrated Compatible Platinum Plan - $1,000 | HMO | 100025251 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23394 | BlueChoice HMO Referral HRA Non-Integrated Compatible Silver Plan - $4,000 | HMO | 100025245 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23395 | BlueChoice Plus Opt-Out Platinum Plan | POS | 100025354 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23396 | BlueChoice Plus Gold Plan - $1,000 | POS | 100025375 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23397 | BlueChoice Plus Gold Plan - $500 | POS | 100025378 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23398 | BlueChoice Plus HDHP Bronze Plan - $6,000 | POS | 100025355 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23399 | BlueChoice Plus HDHP Silver Plan - $1,500 | POS | 100025360 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23400 | BlueChoice Plus HDHP Silver Plan - $2,500 | POS | 100025370 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23401 | BlueChoice Plus HDHP Silver Plan - $3,000 | POS | 100025365 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23402 | BlueChoice Plus HRA Integrated BlueFund Bronze Plan - $6,000 | POS | 100025358 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23403 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100025363 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23404 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $2,500 | POS | 100025373 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23405 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100025368 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23406 | BlueChoice Plus HRA Integrated Compatible Bronze Plan - $6,000 | POS | 100025359 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23407 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $1,500 | POS | 100025364 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23408 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $2,500 | POS | 100025374 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23409 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $3,000 | POS | 100025369 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23410 | BlueChoice Plus HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100025376 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23411 | BlueChoice Plus HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100025377 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23412 | BlueChoice Plus HSA BlueFund Bronze Plan - $6,000 | POS | 100025356 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23413 | BlueChoice Plus HSA BlueFund Silver Plan - $1,500 | POS | 100025361 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23414 | BlueChoice Plus HSA BlueFund Silver Plan - $2,500 | POS | 100025371 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23415 | BlueChoice Plus HSA BlueFund Silver Plan - $3,000 | POS | 100025366 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Bronze | 23416 | BlueChoice Plus HSA Compatible Bronze Plan - $6,000 | POS | 100025357 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23417 | BlueChoice Plus HSA Compatible Silver Plan - $1,500 | POS | 100025362 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23418 | BlueChoice Plus HSA Compatible Silver Plan - $2,500 | POS | 100025372 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23419 | BlueChoice Plus HSA Compatible Silver Plan - $3,000 | POS | 100025367 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23420 | BluePreferred PPO Gold Plan - $1,000 | PPO | 100025342 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23421 | BluePreferred PPO Gold Plan - $1,000 | PPO | 100025332 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23422 | BluePreferred PPO Gold Plan - $1,500 | PPO | 100025345 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23423 | BluePreferred PPO Gold Plan - $500 | PPO | 100025348 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23424 | BluePreferred PPO Platinum Plan | PPO | 100025351 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23425 | BluePreferred PPO Platinum Plan- $500 | PPO | 100025352 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23426 | BluePreferred PPO Silver Plan - $1,000 | PPO | 100025339 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23427 | BluePreferred PPO 100%/80% Platinum Plan | PPO | 100025353 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23428 | BluePreferred PPO 100%/80% Platinum Plan | PPO | 100025349 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23429 | BluePreferred PPO 100%/80% Platinum Plan - SE | PPO | 100025350 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23430 | BluePreferred PPO 90/70 Gold Plan - $1,000 (A) | PPO | 100025333 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23431 | BluePreferred PPO 90/70 Gold Plan - $1,000 (B) | PPO | 100025338 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23432 | BluePreferred PPO HDHP Silver Plan - $1,500 | PPO | 100025316 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23433 | BluePreferred PPO HDHP Silver Plan - $2,000 | PPO | 100025311 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23434 | BluePreferred PPO HDHP 80/60 Silver Plan - $2,000 | PPO | 100025327 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23435 | BluePreferred PPO HDHP 80/60 Silver Plan - $2,000 SE | PPO | 100025322 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23436 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $1,500 | PPO | 100025319 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23437 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100025314 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23438 | BluePreferred PPO HRA Integrated BlueFund 80/60 Silver Plan - $2,000 | PPO | 100025330 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23439 | BluePreferred PPO HRA Integrated BlueFund 80/60 Silver Plan - $2,000 SE | PPO | 100025325 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23440 | BluePreferred PPO HRA Integrated BlueFund 90/70 Gold Plan - $1,000 | PPO | 100025337 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23441 | BluePreferred PPO HRA Integrated BlueFund 90/70 Gold Plan - $1,000 SE | PPO | 100025335 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23442 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $1,500 | PPO | 100025320 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23443 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100025315 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23444 | BluePreferred PPO HRA Integrated Compatible 80/60 Silver Plan - $2,000 | PPO | 100025331 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23445 | BluePreferred PPO HRA Integrated Compatible 80/60 Silver Plan - $2,000 SE | PPO | 100025326 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23446 | BluePreferred PPO HRA Integrated Compatible 90/70 Gold Plan - $1,000 | PPO | 100025336 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23447 | BluePreferred PPO HRA Integrated Compatible 90/70 Gold Plan - $1,000 SE | PPO | 100025334 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23448 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,000 | PPO | 100025344 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23449 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100025347 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23450 | BluePreferred PPO HRA Non-Integrated BlueFund Silver Plan - $1,000 | PPO | 100025341 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23451 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,000 | PPO | 100025343 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23452 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100025346 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23453 | BluePreferred PPO HRA Non-Integrated Compatible Silver Plan - $1,000 | PPO | 100025340 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23454 | BluePreferred PPO HSA BlueFund Silver Plan - $1,500 | PPO | 100025317 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23455 | BluePreferred PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100025312 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23456 | BluePreferred PPO HSA BlueFund 80/60 Silver Plan - $2,000 | PPO | 100025328 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23457 | BluePreferred PPO HSA BlueFund 80/60 Silver Plan - $2,000 SE | PPO | 100025323 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23458 | BluePreferred PPO HSA Compatible Silver Plan - $1,500 | PPO | 100025318 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23459 | BluePreferred PPO HSA Compatible Silver Plan - $2,000 | PPO | 100025313 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23460 | BluePreferred PPO HSA Compatible 80/60 Silver Plan - $2,000 | PPO | 100025329 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23461 | BluePreferred PPO HSA Compatible 80/60 Silver Plan - $2,000 SE | PPO | 100025324 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23462 | BluePreferred PPO HSA/HRA 80/60 Silver Plan - $2,000 | PPO | 100025321 | ON-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23463 | HealthyBlue Advantage Gold Plan - $1,500 | POS | 100025396 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23464 | HealthyBlue Advantage Platinum Plan - $1,000 | POS | 100025399 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23465 | HealthyBlue Advantage Platinum Plan- $500 | POS | 100025402 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23466 | HealthyBlue Advantage HDHP Silver Plan - $2,000 | POS | 100025391 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23467 | HealthyBlue Advantage HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100025394 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23468 | HealthyBlue Advantage HRA Integrated Compatible Silver Plan - $2,000 | POS | 100025395 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23469 | HealthyBlue Advantage HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100025397 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23470 | HealthyBlue Advantage HRA Non-Integrated BlueFund Platinum Plan- $1,000 | POS | 100025400 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23471 | HealthyBlue Advantage HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100025398 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23472 | HealthyBlue Advantage HRA Non-Integrated Compatible Platinum Plan- $1,000 | POS | 100025401 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23473 | HealthyBlue Advantage HSA BlueFund Silver Plan - $2,000 | POS | 100025392 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23474 | HealthyBlue Advantage HSA Compatible Silver Plan - $2,000 | POS | 100025393 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23475 | HealthyBlue HMO Gold Plan - $1,500 | HMO | 100025408 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23476 | HealthyBlue HMO Platinum Plan - $1,000 | HMO | 100025411 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23477 | HealthyBlue HMO Platinum Plan- $500 | HMO | 100025414 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23478 | HealthyBlue HMO HDHP Silver Plan - $2,000 | HMO | 100025403 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23479 | HealthyBlue HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100025406 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23480 | HealthyBlue HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100025407 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23481 | HealthyBlue HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100025409 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23482 | HealthyBlue HMO HRA Non-Integrated BlueFund Platinum Plan- $1,000 | HMO | 100025412 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23483 | HealthyBlue HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100025410 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23484 | HealthyBlue HMO HRA Non-Integrated Compatible Platinum Plan- $1,000 | HMO | 100025413 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23485 | HealthyBlue HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100025404 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23486 | HealthyBlue HMO HSA Compatible Silver Plan - $2,000 | HMO | 100025405 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23487 | HealthyBlue Plus Gold Plan - $1,500 | POS | 100025384 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23488 | HealthyBlue Plus Platinum Plan - $1,000 | POS | 100025387 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23489 | HealthyBlue Plus Platinum Plan- $500 | POS | 100025390 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23490 | HealthyBlue Plus HDHP Silver Plan - $2,000 | POS | 100025379 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23491 | HealthyBlue Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100025382 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23492 | HealthyBlue Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100025383 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23493 | HealthyBlue Plus HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100025385 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23494 | HealthyBlue Plus HRA Non-Integrated BlueFund Platinum Plan- $1,000 | POS | 100025388 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23495 | HealthyBlue Plus HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100025386 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23496 | HealthyBlue Plus HRA Non-Integrated Compatible Platinum Plan- $1,000 | POS | 100025389 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23497 | HealthyBlue Plus HSA BlueFund Silver Plan - $2,000 | POS | 100025380 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23498 | HealthyBlue Plus HSA Compatible Silver Plan - $2,000 | POS | 100025381 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23499 | HealthyBlue PPO Gold Plan - $1,500 | PPO | 100025422 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23500 | HealthyBlue PPO Platinum Plan - $1,000 | PPO | 100025423 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23501 | HealthyBlue PPO Platinum Plan- $500 | PPO | 100025426 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23502 | HealthyBlue PPO HDHP Silver Plan - $2,000 | PPO | 100025415 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23503 | HealthyBlue PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100025418 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23504 | HealthyBlue PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100025419 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23505 | HealthyBlue PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100025421 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23506 | HealthyBlue PPO HRA Non-Integrated BlueFund Platinum Plan- $1,000 | PPO | 100025425 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Gold | 23507 | HealthyBlue PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100025420 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Platinum | 23508 | HealthyBlue PPO HRA Non-Integrated Compatible Platinum Plan- $1,000 | PPO | 100025424 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23509 | HealthyBlue PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100025416 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| VA | M | Silver | 23510 | HealthyBlue PPO HSA Compatible Silver Plan - $2,000 | PPO | 100025417 | OFF-SHOP |
Benefits
| 1/1/2018 | 12/31/2018 | CAF | |
| MD | M | Platinum | 24000 | KP MD Platinum 0/10/Vision (SIG) | HMO | 90296MD0570001 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Platinum | 24001 | KP MD Platinum 500/20/Vision (SIG) | HMO | 90296MD0570002 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Platinum | 24002 | KP MD Platinum 0/10/Vision (SIG) | HMO | 90296MD0590001 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Platinum | 24003 | KP MD Platinum 0/10/Vision (SEL) | HMO | 90296MD0590015 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Platinum | 24004 | KP MD Platinum 500/20/Vision (SIG) | HMO | 90296MD0590002 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Platinum | 24005 | KP MD Platinum 500/20/Vision (SEL) | HMO | 90296MD0590016 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24006 | KP MD Gold 0/20/Vision (SIG) | HMO | 90296MD0570004 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24007 | KP MD Gold 1000/20/Vision (SIG) | HMO | 90296MD0570005 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24008 | KP MD Gold 0/20/Vision (SIG) | HMO | 90296MD0590004 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24009 | KP MD Gold 0/20/Vision (SEL) | HMO | 90296MD0590018 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24010 | KP MD Gold 1000/20/Vision (SIG) | HMO | 90296MD0590005 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24011 | KP MD Gold 1000/20/Vision (SEL) | HMO | 90296MD0590019 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24012 | KP MD Gold 1400/0%/HSA/Vision (SIG) | HMO | 90296MD0570006 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Bronze | 24013 | KP MD Bronze 6850/0%/HSA/Vision (SIG) | HMO | 90296MD0570013 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24014 | KP MD Gold 1400/0%/HSA/Vision (SIG) | HMO | 90296MD0590006 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24015 | KP MD Gold 1400/0%/HSA/Vision (SEL) | HMO | 90296MD0590020 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Bronze | 24016 | KP MD Bronze 6850/0%/HSA/Vision (SIG) | HMO | 90296MD0590013 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Bronze | 24017 | KP MD Bronze 6850/0%/HSA/Vision (SEL) | HMO | 90296MD0590027 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24018 | KP MD Silver 2000/40/Vision (SIG) | HMO | 90296MD0570008 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24019 | KP MD Silver 2500/40/Vision (SIG) | HMO | 90296MD0570009 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24020 | KP MD Silver 2000/40/Vision (SIG) | HMO | 90296MD0590008 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24021 | KP MD Silver 2000/40/Vision (SEL) | HMO | 90296MD0590022 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24022 | KP MD Silver 2500/40/Vision (SIG) | HMO | 90296MD0590009 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24023 | KP MD Silver 2500/40/Vision (SEL) | HMO | 90296MD0590023 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24024 | KP MD Silver 2000/30/HSA/Vision (SIG) | HMO | 90296MD0570010 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24025 | KP MD Silver 3000/30/HSA/Vision (SIG) | HMO | 90296MD0570011 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Bronze | 24026 | KP MD Bronze 6150/30/HSA/Vision (SIG) | HMO | 90296MD0570014 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24027 | KP MD Silver 2000/30/HSA/Vision (SIG) | HMO | 90296MD0590010 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24028 | KP MD Silver 2000/30/HSA/Vision (SEL) | HMO | 90296MD0590024 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24029 | KP MD Silver 3000/30/HSA/Vision (SIG) | HMO | 90296MD0590011 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24030 | KP MD Silver 3000/30/HSA/Vision (SEL) | HMO | 90296MD0590025 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Bronze | 24031 | KP MD Bronze 6150/30/HSA/Vision (SIG) | HMO | 90296MD0590014 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Bronze | 24032 | KP MD Bronze 6150/30/HSA/Vision (SEL) | HMO | 90296MD0590028 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Bronze | 24033 | KP MD Bronze 6900/50/Vision (SIG) | HMO | 90296MD0570012 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Bronze | 24034 | KP MD Bronze 6900/50/Vision (SIG) | HMO | 90296MD0590012 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Bronze | 24035 | KP MD Bronze 6900/50/Vision (SEL) | HMO | 90296MD0590026 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24036 | KP MD Gold 500/20/Vision (SIG) | HMO | 90296MD0590029 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24037 | KP MD Gold 500/20/Vision (SEL) | HMO | 90296MD0590030 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24038 | KP MD Gold 1500/20/Vision (SIG) | HMO | 90296MD0590035 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24039 | KP MD Gold 1500/20/Vision (SEL) | HMO | 90296MD0590036 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24040 | KP MD Silver 4000/30/HSA/Vision (SIG) | HMO | 90296MD0590031 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24041 | KP MD Silver 4000/30/HSA/Vision (SEL) | HMO | 90296MD0590032 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24042 | KP MD Gold 1000/20/POS/Vision (SIG) | POS | 90296MD0600001 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24043 | KP MD Gold 1000/20/POS/Vision (SEL) | POS | 90296MD0600005 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24044 | KP MD Silver 2500/40/POS/Vision (SIG) | POS | 90296MD0600002 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24045 | KP MD Silver 2500/40/POS/Vision (SEL) | POS | 90296MD0600006 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Bronze | 24046 | KP MD Bronze 6900/50/POS/Vision (SIG) | POS | 90296MD0580001 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Bronze | 24047 | KP MD Bronze 6900/50/POS/Vision (SIG) | POS | 90296MD0600003 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Bronze | 24048 | KP MD Bronze 6900/50/POS/Vision (SEL) | POS | 90296MD0600004 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24049 | KP MD Gold 0/20/3TPOS/Vision (SIG) | POS | 90296MD0600008 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24050 | KP MD Gold 1000/20/3TPOS/Vision (SIG) | POS | 90296MD0600007 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24051 | KP MD Gold 1400/0%/HSA/3TPOS/Vision (SIG) | POS | 90296MD0600012 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Platinum | 24052 | KP MD Platinum HMO Plus 0/10/Vision (SIG) | POS | 90296MD0590033 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24053 | KP MD Gold HMO Plus 0/20/Vision (SIG) | POS | 90296MD0590034 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Gold | 24054 | KP MD Gold DHMO Plus 1500/20/Vision (SIG) | POS | 90296MD0590037 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24055 | KP MD Silver DHMO Plus 2000/40/Vision (SIG) | POS | 90296MD0590038 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24056 | KP MD Silver 4000/40/Vision (SIG) | HMO | 90296MD0590039 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24057 | KP MD Silver 4000/40/Vision (SEL) | HMO | 90296MD0590040 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Silver | 24058 | KP MD Silver DHMO Plus 4000/40/Vision (SIG) | POS | 90296MD0590041 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | M | Bronze | 24059 | KP MD Bronze DHMO Plus 6900/50/Vision (SIG) | POS | 90296MD0590042 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Platinum | 24060 | KP DC Platinum 0/10/Vision (SIG) | HMO | 94506DC0350001 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Platinum | 24061 | KP DC Platinum 0/10/Vision (SEL) | HMO | 94506DC0350016 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Gold | 24062 | KP DC Gold 0/20/Vision (SIG) | HMO | 94506DC0350004 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Gold | 24063 | KP DC Gold 0/20/Vision (SEL) | HMO | 94506DC0350018 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Platinum | 24064 | KP DC Platinum 500/10/Vision (SIG) | HMO | 94506DC0350002 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Platinum | 24065 | KP DC Platinum 500/10/Vision (SEL) | HMO | 94506DC0350017 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Gold | 24066 | KP DC Gold 500/20/Vision (SIG) | HMO | 94506DC0350021 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Gold | 24067 | KP DC Gold 500/20/Vision (SEL) | HMO | 94506DC0350022 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Gold | 24068 | KP DC Gold 1000/20/Vision (SIG) | HMO | 94506DC0350005 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Gold | 24069 | KP DC Gold 1000/20/Vision (SEL) | HMO | 94506DC0350019 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Gold | 24070 | KP DC Gold 1500/20/Vision (SIG) | HMO | 94506DC0350025 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Gold | 24071 | KP DC Gold 1500/20/Vision (SEL) | HMO | 94506DC0350028 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Silver | 24072 | KP DC Silver 2000/40/Vision (SIG) | HMO | 94506DC0350008 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Silver | 24073 | KP DC Silver 2500/40/Vision (SIG) | HMO | 94506DC0350009 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Silver | 24074 | KP DC Silver 2000/30/HSA/Vision (SIG) | HMO | 94506DC0350010 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Silver | 24075 | KP DC Silver 2500/30/HSA/Vision (SIG) | HMO | 94506DC0350011 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Gold | 24076 | KP DC Gold 1700/0%/HSA/Vision (SIG) | HMO | 94506DC0350006 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Gold | 24077 | KP DC Gold 1700/0%/HSA/Vision (SEL) | HMO | 94506DC0350020 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Bronze | 24078 | KP DC Bronze 7000/0%/HSA/Vision (SIG) | HMO | 94506DC0350015 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Bronze | 24079 | KP DC Bronze 6500/55/Vision (SIG) | HMO | 94506DC0350012 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Gold | 24080 | KP DC Gold 1000/20/POS/Vision (SIG) | POS | 94506DC0360003 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Silver | 24081 | KP DC Silver 2500/40/POS/Vision (SIG) | POS | 94506DC0360002 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Bronze | 24082 | KP DC Bronze 6500/55/POS/Vision (SIG) | POS | 94506DC0360001 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Bronze | 24083 | KP DC Bronze 6900/50/20%/HSA/Vision (SIG) | HMO | 94506DC0350014 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Platinum | 24084 | KP DC Platinum HMO Plus 0/10/Vision (SIG) | POS | 94506DC0350023 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Gold | 24085 | KP DC Gold HMO Plus 0/20/Vision (SIG) | POS | 94506DC0350024 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Gold | 24086 | KP DC Gold DHMO Plus 1500/20/Vision (SIG) | POS | 94506DC0350026 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Silver | 24087 | KP DC Silver DHMO Plus 2000/40/Vision (SIG) | POS | 94506DC0350027 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Platinum | 24088 | KP DC Platinum 0/10/POS/Vision (SIG) | POS | 94506DC0360004 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| DC | M | Platinum | 24089 | KP DC Platinum 500/10/POS/Vision (SIG) | POS | 94506DC0360005 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Platinum | 24090 | KP VA Platinum 0/15/Vision (SIG) | HMO | 95185VA0500001 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Platinum | 24091 | KP VA Platinum 500/20/Vision (SIG) | HMO | 95185VA0500002 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Platinum | 24092 | KP VA Platinum 0/15/Vision (SIG) | HMO | 95185VA0510001 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Platinum | 24093 | KP VA Platinum 0/15/Vision (SEL) | HMO | 95185VA0510015 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Platinum | 24094 | KP VA Platinum 500/20/Vision (SIG) | HMO | 95185VA0510002 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Platinum | 24095 | KP VA Platinum 500/20/Vision (SEL) | HMO | 95185VA0510016 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24096 | KP VA Gold 0/20/Vision (SIG) | HMO | 95185VA0500004 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24097 | KP VA Gold 500/20/Vision (SIG) | HMO | 95185VA0500015 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24098 | KP VA Gold 1000/20/Vision (SIG) | HMO | 95185VA0500005 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24099 | KP VA Gold 0/20/Vision (SIG) | HMO | 95185VA0510004 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24100 | KP VA Gold 0/20/Vision (SEL) | HMO | 95185VA0510018 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24101 | KP VA Gold 500/20/Vision (SIG) | HMO | 95185VA0510029 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24102 | KP VA Gold 500/20/Vision (SEL) | HMO | 95185VA0510030 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24103 | KP VA Gold 1000/20/Vision (SIG) | HMO | 95185VA0510005 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24104 | KP VA Gold 1000/20/Vision (SEL) | HMO | 95185VA0510019 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Silver | 24105 | KP VA Silver 2000/40/Vision (SIG) | HMO | 95185VA0500008 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Silver | 24106 | KP VA Silver 2000/40/Vision (SIG) | HMO | 95185VA0510008 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Silver | 24107 | KP VA Silver 2000/40/Vision (SEL) | HMO | 95185VA0510022 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Silver | 24108 | KP VA Silver 2750/30/Vision (SIG) | HMO | 95185VA0500009 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Silver | 24109 | KP VA Silver 2750/30/Vision (SIG) | HMO | 95185VA0510009 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Silver | 24110 | KP VA Silver 2750/30/Vision (SEL) | HMO | 95185VA0510023 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24111 | KP VA Gold 1400/0%/HSA/Vision (SIG) | HMO | 95185VA0500006 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Silver | 24112 | KP VA Silver 4000/0%/HSA/Vision (SIG) | HMO | 95185VA0500016 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24113 | KP VA Gold 1400/0%/HSA/Vision (SIG) | HMO | 95185VA0510006 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24114 | KP VA Gold 1400/0%/HSA/Vision (SEL) | HMO | 95185VA0510020 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Silver | 24115 | KP VA Silver 4000/0%/HSA/Vision (SIG) | HMO | 95185VA0510031 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Silver | 24116 | KP VA Silver 4000/0%/HSA/Vision (SEL) | HMO | 95185VA0510032 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Silver | 24117 | KP VA Silver 2000/30/HSA/Vision (SIG) | HMO | 95185VA0500010 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Silver | 24118 | KP VA Silver 2000/30/HSA/Vision (SIG) | HMO | 95185VA0510010 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Silver | 24119 | KP VA Silver 2000/30/HSA/Vision (SEL) | HMO | 95185VA0510024 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Silver | 24120 | KP VA Silver 3000/30/HSA/Vision (SIG) | HMO | 95185VA0500011 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Silver | 24121 | KP VA Silver 3000/30/HSA/Vision (SIG) | HMO | 95185VA0510011 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Silver | 24122 | KP VA Silver 3000/30/HSA/Vision (SEL) | HMO | 95185VA0510025 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Bronze | 24123 | KP VA Bronze 7000/50/Vision (SIG) | HMO | 95185VA0500012 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Bronze | 24124 | KP VA Bronze 7000/50/Vision (SIG) | HMO | 95185VA0510012 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Bronze | 24125 | KP VA Bronze 7000/50/Vision (SEL) | HMO | 95185VA0510026 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Bronze | 24126 | KP VA Bronze 6150/30/20%/HSA/Vision (SIG) | HMO | 95185VA0500014 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Bronze | 24127 | KP VA Bronze 6150/30/20%/HSA/Vision (SIG) | HMO | 95185VA0510014 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Bronze | 24128 | KP VA Bronze 6150/30/20%/HSA/Vision (SEL) | HMO | 95185VA0510028 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Bronze | 24129 | KP VA Bronze 7000/40%/Vision (SIG) | HMO | 95185VA0500017 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Bronze | 24130 | KP VA Bronze 7000/40%/Vision (SIG) | HMO | 95185VA0510040 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Bronze | 24131 | KP VA Bronze 7000/40%/Vision (SEL) | HMO | 95185VA0510041 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24132 | KP VA Gold 1500/20/Vision (SIG) | HMO | 95185VA0510035 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24133 | KP VA Gold 1500/20/Vision (SEL) | HMO | 95185VA0510036 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Platinum | 24134 | KP VA Platinum HMO Plus 0/15/Vision (SIG) | POS | 95185VA0510033 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24135 | KP VA Gold HMO Plus 0/20/Vision (SIG) | POS | 95185VA0510034 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24136 | KP VA Gold DHMO Plus 1500/20/Vision (SIG) | POS | 95185VA0510037 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Silver | 24137 | KP VA Silver DHMO Plus 2000/40/Vision (SIG) | POS | 95185VA0510038 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Bronze | 24138 | KP VA Bronze DHMO Plus 7000/50/Vision (SIG) | POS | 95185VA0510039 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24139 | KP VA Gold 0/20/POS/Vision (SIG) | POS | 95185VA0520001 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24140 | KP VA Gold 0/20/POS/Vision (SEL) | POS | 95185VA0520004 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24141 | KP VA Gold 1000/20/POS/Vision (SIG) | POS | 95185VA0520002 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24142 | KP VA Gold 1000/20/POS/Vision (SEL) | POS | 95185VA0520005 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Silver | 24143 | KP VA Silver 2750/30/POS/Vision (SIG) | POS | 95185VA0520003 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Silver | 24144 | KP VA Silver 2750/30/POS/Vision (SEL) | POS | 95185VA0520006 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24145 | KP VA Gold 500/20/3TPOS/Vision (SIG) | POS | 95185VA0520008 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Gold | 24146 | KP VA Gold 1000/30/3TPOS/Vision (SIG) | POS | 95185VA0520007 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Bronze | 24147 | KP VA Bronze 6850/0%/HSA/Vision (SIG) | HMO | 95185VA0500013 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Bronze | 24148 | KP VA Bronze 6850/0%/HSA/Vision (SIG) | HMO | 95185VA0510013 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| VA | M | Bronze | 24149 | KP VA Bronze 6850/0%/HSA/Vision (SEL) | HMO | 95185VA0510027 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | KAI | |
| MD | D | N/A | 24200 | Kasier Adult Dental HMO (DHMO) | DEN | 90296AD0590001 | N/A |
Benefits
| 6/1/2021 | 12/31/2021 | KAI | |
| MD | D | N/A | 24201 | Kasier Adult Second Level Point-of-Service (POS) | DEN | 90296AD0590002 | N/A |
Benefits
| 6/1/2021 | 12/31/2021 | KAI | |
| MD | D | N/A | 24202 | Kaiser Adult PPO 1 | DEN | 90296AD0590003 | N/A |
Benefits
| 6/1/2021 | 12/31/2021 | KAI | |
| MD | D | N/A | 24203 | Kaiser Adult PPO 3 | DEN | 90296AD0590004 | N/A |
Benefits
| 6/1/2021 | 12/31/2021 | KAI | |
| VA | D | N/A | 24204 | Kaiser Adult Dental HMO (DHMO) | DEN | 95185AD0510001 | N/A |
Benefits
| 6/1/2021 | 12/31/2021 | KAI | |
| VA | D | N/A | 24205 | Kasier Second Level Point-of-Service (POS) | DEN | 95185AD0510002 | N/A |
Benefits
| 6/1/2021 | 12/31/2021 | KAI | |
| VA | D | N/A | 24206 | Kaiser Adult PPO 1 | DEN | 95185AD0510003 | N/A |
Benefits
| 6/1/2021 | 12/31/2021 | KAI | |
| VA | D | N/A | 24207 | Kaiser Adult PPO 3 | DEN | 95185AD0510004 | N/A |
Benefits
| 6/1/2021 | 12/31/2021 | KAI | |
| VA | D | N/A | 25000 | BD - Essential Choice VA-B7 | DEN | 3LXX | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25001 | Essential Choice Classic VA-C1 | DEN | 3LUF | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25002 | Essential Choice Classic VA-C10 | DEN | 3LUQ | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25003 | Essential Choice Classic VA-C13 | DEN | 3LUT | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25004 | Essential Choice Classic VA-C14 | DEN | 3LUU | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25005 | Essential Choice Classic VA-C17 | DEN | 3LUX | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25006 | Essential Choice Classic VA-C18 | DEN | 3LUY | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25007 | Essential Choice Classic VA-C2 | DEN | 3LUG | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25008 | Essential Choice Classic VA-C25 | DEN | 3LV5 | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25009 | Essential Choice Classic VA-C26 | DEN | 3LV6 | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25010 | Essential Choice Classic VA-C27 | DEN | 3LV7 | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25011 | Essential Choice Classic VA-C28 | DEN | 3LV8 | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25012 | Essential Choice Classic VA-C33 | DEN | 3LXZ | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25013 | Essential Choice Classic VA-C34 | DEN | 3LY0 | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25014 | Essential Choice Classic VA-C41 | DEN | 3LY7 | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25015 | Essential Choice Classic VA-C42 | DEN | 3LY8 | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25016 | Essential Choice Classic VA-C9 | DEN | 3LUP | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25017 | Essential Choice Enhanced VA-E1 | DEN | 3LVD | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25018 | Essential Choice Enhanced VA-E13 | DEN | 3LVR | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25019 | Essential Choice Enhanced VA-E17 | DEN | 3LVV | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25020 | Essential Choice Enhanced VA-E5 | DEN | 3LVH | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25021 | Essential Choice Voluntary VA-V1 | DEN | 3LWT | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25022 | Essential Choice Voluntary VA-V13 | DEN | 3LX5 | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25023 | Essential Choice Voluntary VA-V2 | DEN | 3LWU | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25024 | Essential Choice Voluntary VA-V25 | DEN | 3LXH | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25025 | Essential Choice Voluntary VA-V26 | DEN | 3LXJ | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25026 | Essential Choice Voluntary VA-V33 | DEN | 3LYF | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25027 | Essential Choice Voluntary VA-V34 | DEN | 3LYG | NA |
Benefits
| 1/1/2019 | 6/30/2019 | ANT | |
| VA | D | N/A | 25030 | BD - Essential Choice VA-B7 | DEN | 3LXX | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25031 | Essential Choice Classic VA-C1 | DEN | 3LUF | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25032 | Essential Choice Classic VA-C10 | DEN | 3LUQ | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25033 | Essential Choice Classic VA-C13 | DEN | 3LUT | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25034 | Essential Choice Classic VA-C14 | DEN | 3LUU | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25035 | Essential Choice Classic VA-C17 | DEN | 3LUX | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25036 | Essential Choice Classic VA-C18 | DEN | 3LUY | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25037 | Essential Choice Classic VA-C2 | DEN | 3LUG | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25038 | Essential Choice Classic VA-C25 | DEN | 3LV5 | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25039 | Essential Choice Classic VA-C26 | DEN | 3LV6 | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25040 | Essential Choice Classic VA-C27 | DEN | 3LV7 | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25041 | Essential Choice Classic VA-C28 | DEN | 3LV8 | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25042 | Essential Choice Classic VA-C33 | DEN | 3LXZ | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25043 | Essential Choice Classic VA-C34 | DEN | 3LY0 | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25044 | Essential Choice Classic VA-C41 | DEN | 3LY7 | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25045 | Essential Choice Classic VA-C42 | DEN | 3LY8 | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25046 | Essential Choice Classic VA-C9 | DEN | 3LUP | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25047 | Essential Choice Enhanced VA-E1 | DEN | 3LVD | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25048 | Essential Choice Enhanced VA-E13 | DEN | 3LVR | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25049 | Essential Choice Enhanced VA-E17 | DEN | 3LVV | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25050 | Essential Choice Enhanced VA-E5 | DEN | 3LVH | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25051 | Essential Choice Voluntary VA-V1 | DEN | 3LWT | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25052 | Essential Choice Voluntary VA-V13 | DEN | 3LX5 | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25053 | Essential Choice Voluntary VA-V2 | DEN | 3LWU | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25054 | Essential Choice Voluntary VA-V25 | DEN | 3LXH | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25055 | Essential Choice Voluntary VA-V26 | DEN | 3LXJ | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25056 | Essential Choice Voluntary VA-V33 | DEN | 3LYF | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| VA | D | N/A | 25057 | Essential Choice Voluntary VA-V34 | DEN | 3LYG | NA |
Benefits
| 7/1/2019 | 3/31/2022 | ANT | |
| MD | D | N/A | 25500 | Flex PPO F-2W ($1,000 max) | DEN | 25500 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| MD | D | N/A | 25501 | Flex PPO F-2W ($1,500 max) | DEN | 25501 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| MD | D | N/A | 25502 | Flex PPO F-3W ($1,000 max) | DEN | 25502 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| MD | D | N/A | 25503 | Flex PPO F-3W ($1,500 max) | DEN | 25503 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| MD | D | N/A | 25504 | Preferred PPO P-10W ($1,000 max) | DEN | 25504 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| MD | D | N/A | 25505 | Preferred PPO P-10W ($1,500 max) | DEN | 25505 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| MD | D | N/A | 25506 | Preferred PPO P-4W ($1,000 max) | DEN | 25506 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| MD | D | N/A | 25507 | Preferred PPO P-4W ($1,500 max) | DEN | 25507 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| MD | D | N/A | 25508 | Plus DHMO 1640 | DEN | 25508 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| MD | D | N/A | 25509 | Plus DHMO 1660 | DEN | 25509 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| MD | D | N/A | 25510 | Plus POS 1640 | DEN | 25510 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| MD | D | N/A | 25511 | Plus POS 1660 | DEN | 25511 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| VA | D | N/A | 25512 | Flex PPO F-210W ($1,000 max) | DEN | 25512 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| VA | D | N/A | 25513 | Flex PPO F-210W ($1,500 max) | DEN | 22513 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| VA | D | N/A | 25514 | Flex PPO F-1W ($1,000 max) | DEN | 25514 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| VA | D | N/A | 25515 | Flex PPO F-1W ($1,500 max) | DEN | 25515 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| VA | D | N/A | 25516 | Flex PPO F-3W ($1,000 max) | DEN | 25516 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| VA | D | N/A | 25517 | Flex PPO F-3W ($1,500 max) | DEN | 25517 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| VA | D | N/A | 25518 | Flex PPO F-8W ($1,000 max) | DEN | 25518 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| VA | D | N/A | 25519 | Flex PPO F-8W ($1,500 max) | DEN | 25519 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| VA | D | N/A | 25520 | Preferred PPO Flex F-4WD ($1,000 max) | DEN | 25520 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| VA | D | N/A | 25521 | Preferred PPO Flex F-4WD ($1,500 max) | DEN | 25521 | OFF-SHOP |
Benefits
| 1/1/2019 | 6/30/2019 | UNC | |
| VA | M | Silver | 26000 | BluePreferred PPO HSA Compatible 80/60 Silver Plan - $2,250 SE | PPO | 100028896 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26001 | BluePreferred PPO HSA Compatible 80/60 Silver Plan - $2,250 | PPO | 100028901 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26002 | BluePreferred PPO HRA Integrated BlueFund 90/70 Gold Plan - $1,000 SE | PPO | 100028907 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26003 | BluePreferred PPO HRA Integrated Compatible 90/70 Gold Plan - $1,000 | PPO | 100028908 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26004 | BluePreferred PPO Silver Plan - $1,000 | PPO | 100028911 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26005 | BluePreferred PPO Gold Plan - $1,000 | PPO | 100028914 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Platinum | 26006 | BluePreferred PPO Platinum Plan | PPO | 100028923 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26007 | BlueChoice Plus HDHP Bronze Plan - $6,000 | POS | 100028927 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26008 | BlueChoice Plus HSA BlueFund Bronze Plan - $6,000 | POS | 100028928 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26009 | BlueChoice Plus HSA Compatible Bronze Plan - $6,000 | POS | 100028929 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26010 | BlueChoice Plus HSA BlueFund Silver Plan - $1,500 | POS | 100028933 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26011 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $3,000 | POS | 100028941 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26012 | HealthyBlue Plus HSA Compatible Silver Plan - $2,000 | POS | 100028953 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26013 | HealthyBlue HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100028973 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26014 | HealthyBlue HMO HDHP Silver Plan - $2,000 | HMO | 100028969 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26015 | HealthyBlue PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100028979 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26016 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $2,500 | POS | 100028779 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26017 | BlueChoice Advantage HRA Non-Integrated Compatible Bronze Plan - $5,750 | POS | 100028788 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26018 | BlueChoice Advantage HRA Non-Integrated BlueFund Silver Plan - $4,000 | POS | 100028790 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26019 | BlueChoice Advantage Gold Plan- $3000 | POS | 100028795 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26020 | BlueChoice HMO HDHP Silver Plan - $2,000 | HMO | 100028837 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26021 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100028838 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26022 | BlueChoice HMO HDHP Silver Plan - $3,000 | HMO | 100028841 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26023 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,500 | HMO | 100028850 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26024 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 SE | HMO | 100028859 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26025 | BlueChoice HMO HSA BlueFund Gold Plan - $1,500 | HMO | 100028861 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26026 | BlueChoice HMO HRA Non-Integrated Compatible Gold Plan- $3000 | HMO | 100028882 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26027 | BlueChoice Advantage Silver Plan - $5,000 | POS | 100028390 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26028 | BlueChoice Advantage HRA Non-Integrated Compatible Silver Plan - $5,000 | POS | 100028392 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26029 | BlueChoice Advantage HRA Non-Integrated BlueFund Silver Plan - $4,000 | POS | 100028394 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26030 | BlueChoice HMO Referral HSA Compatible Bronze Plan - $5,500 | HMO | 100028423 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26031 | BlueChoice HMO Referral HRA Non-Integrated Compatible Silver Plan - $4,000 | HMO | 100028428 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26032 | BlueChoice HMO Gold Plan - $500 | HMO | 100028439 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26033 | BlueChoice HMO HSA Compatible Bronze Plan - $6,000 | HMO | 100028442 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26034 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $1,500 | HMO | 100028455 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26035 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,250 | HMO | 100028465 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26036 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 100028482 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26037 | BlueChoice HMO HRA Non-Integrated Compatible Silver Plan - $1,000 | HMO | 100028484 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26038 | BlueChoice Advantage HSA Compatible Bronze Plan - $6,000 | POS | 100028337 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26039 | BlueChoice Advantage HRA Integrated Compatible Bronze Plan - $6,000 | POS | 100028339 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26040 | BlueChoice Advantage HDHP Silver Plan - $3,000 | POS | 100028346 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26041 | BlueChoice Advantage HRA Integrated Compatible Gold Plan - $1,500 | POS | 100028354 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26042 | BlueChoice Advantage HDHP Gold Plan - $1,500 | POS | 100028356 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26043 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $2,500 | POS | 100028359 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26044 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $2,500 | POS | 100028360 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26045 | BlueChoice HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100028492 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26046 | BlueChoice HMO Silver Plan - $5,000 | HMO | 100028493 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26047 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $1,500 | PPO | 100028498 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26048 | BluePreferred PPO 90/70 Gold Plan - $1,000 | PPO | 100028521 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26049 | BluePreferred PPO Gold Plan - $1,000 | PPO | 100028552 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26050 | BlueChoice Plus HSA Compatible Bronze Plan - $6,000 | POS | 100028575 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26051 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $1,500 | POS | 100028583 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26052 | BlueChoice Plus HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100028608 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26053 | HealthyBlue Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100028619 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26054 | HealthyBlue HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100028658 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26055 | BluePreferred PPO HRA Integrated BlueFund 80/60 Silver Plan - $2,250 SE | PPO | 100028897 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26056 | BluePreferred PPO HRA Integrated Compatible 80/60 Silver Plan - $2,250 SE | PPO | 100028898 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26057 | BluePreferred PPO HRA Integrated Compatible 80/60 Silver Plan - $2,250 | PPO | 100028903 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26058 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,000 | PPO | 100028915 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26059 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100028918 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26060 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100028919 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26061 | BlueChoice Plus HRA Integrated Compatible Bronze Plan - $6,000 | POS | 100028931 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26062 | BlueChoice Plus HDHP Silver Plan - $3,000 | POS | 100028937 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26063 | BlueChoice Plus HDHP Silver Plan - $2,500 | POS | 100028942 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26064 | BlueChoice Plus HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100028948 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26065 | HealthyBlue Advantage HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100028963 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26066 | HealthyBlue Advantage HRA Integrated Compatible Silver Plan - $2,000 | POS | 100028964 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26067 | HealthyBlue Advantage Gold Plan - $1,500 | POS | 100028965 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26068 | HealthyBlue HMO HSA Compatible Silver Plan - $2,000 | HMO | 100028971 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Platinum | 26069 | HealthyBlue PPO Platinum Plan- $500 | PPO | 100028986 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26070 | BlueChoice Advantage HSA Compatible Bronze Plan - $6,000 | POS | 100028763 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26071 | BlueChoice Advantage HSA BlueFund Silver Plan - $3,000 | POS | 100028772 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26072 | BlueChoice Advantage HSA Compatible Silver Plan - $2,500 | POS | 100028778 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26073 | BlueChoice Advantage HRA Integrated BlueFund Gold Plan - $1,500 | POS | 100028784 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26074 | BlueChoice HMO Referral 70 HRA Non-Integrated BlueFund Silver Plan - $2,000 | HMO | 100028810 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Platinum | 26075 | BlueChoice HMO Platinum Plan | HMO | 100028819 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26076 | BlueChoice HMO HSA Compatible Silver Plan - $1,500 | HMO | 100028833 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26077 | BlueChoice HMO Gold Plan - $1,000 SE | HMO | 100028857 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26078 | BlueChoice HMO Silver Plan- $5000 | HMO | 100028877 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26079 | BlueChoice HMO Gold Plan- $3000 | HMO | 100028880 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26080 | BluePreferred PPO HSA BlueFund Silver Plan - $1,500 | PPO | 100028889 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26081 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $1,500 | PPO | 100028892 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26082 | BlueChoice Advantage HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100028400 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26083 | BlueChoice HMO Referral HRA Integrated BlueFund Bronze Plan - $5,500 | HMO | 100028422 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26084 | BlueChoice HMO Referral HRA Non-Integrated Compatible Bronze Plan - $5,750 | HMO | 100028432 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26085 | BlueChoice HMO HDHP Silver Plan - $3,000 | HMO | 100028448 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26086 | BlueChoice HMO HSA BlueFund Gold Plan - $1,500 | HMO | 100028469 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Platinum | 26087 | BlueChoice HMO Referral Platinum Plan | HMO | 100028483 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26088 | BlueChoice HMO Silver Plan - $1,000 | HMO | 100028485 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26089 | BlueChoice Advantage HSA Compatible Silver Plan - $1,500 | POS | 100028347 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26090 | BlueChoice Advantage HSA BlueFund Silver Plan - $2,500 | POS | 100028358 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26091 | BlueChoice Advantage HRA Non-Integrated Compatible Bronze Plan - $5,750 | POS | 100028387 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26092 | BluePreferred PPO HDHP Silver Plan - $1,500 | PPO | 100028500 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26093 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100028503 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26094 | BluePreferred PPO HDHP Bronze Plan - $5,500 | PPO | 100028517 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26095 | BluePreferred PPO Gold Plan - $500 | PPO | 100028566 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26096 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $3,000 | POS | 100028578 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26097 | BlueChoice Plus HDHP Silver Plan - $2,500 | POS | 100028591 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26098 | BlueChoice Plus HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100028610 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26099 | HealthyBlue Advantage HRA Integrated Compatible Silver Plan - $2,000 | POS | 100028636 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26100 | BluePreferred PPO HSA BlueFund 80/60 Silver Plan - $2,250 SE | PPO | 100028895 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26101 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100028935 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26102 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $2,500 | POS | 100028945 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26103 | HealthyBlue Plus HSA BlueFund Silver Plan - $2,000 | POS | 100028952 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26104 | HealthyBlue Advantage HDHP Silver Plan - $2,000 | POS | 100028960 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26105 | HealthyBlue Advantage HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100028967 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26106 | HealthyBlue HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100028970 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26107 | HealthyBlue PPO HSA Compatible Silver Plan - $2,000 | PPO | 100028980 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26108 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $1,500 | POS | 100028770 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26109 | BlueChoice Advantage HSA Compatible Silver Plan - $3,000 | POS | 100028773 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26110 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100028774 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26111 | BlueChoice Advantage HDHP Gold Plan - $1,500 | POS | 100028781 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26112 | BlueChoice Advantage Silver Plan - $4,000 | POS | 100028789 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26113 | BlueChoice Advantage HRA Non-Integrated Compatible Silver Plan - $4,000 | POS | 100028791 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26114 | BlueChoice Advantage HRA Non-Integrated BlueFund Silver Plan- $5000 | POS | 100028799 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26115 | BlueChoice HMO Referral HRA Non-Integrated Compatible Silver Plan - $4,000 | HMO | 100028814 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26116 | BlueChoice HMO HDHP Bronze Plan - $6,000 | HMO | 100028820 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26117 | BlueChoice HMO HRA Integrated Compatible Bronze Plan - $6,000 | HMO | 100028824 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26118 | BlueChoice HMO HDHP Silver Plan - $2,250 SE | HMO | 100028826 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26119 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,250 SE | HMO | 100028829 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26120 | BlueChoice HMO HSA BlueFund Silver Plan - $3,000 | HMO | 100028842 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26121 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $3,000 | HMO | 100028845 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26122 | BlueChoice HMO HSA BlueFund Silver Plan - $2,250 | HMO | 100028852 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26123 | BlueChoice HMO HSA Compatible Silver Plan - $2,250 | HMO | 100028853 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26124 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,250 | HMO | 100028854 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26125 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,250 | HMO | 100028855 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26126 | BlueChoice HMO HRA Non-Integrated BlueFund Silver Plan - $1,000 | HMO | 100028872 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26127 | BlueChoice HMO HRA Non-Integrated Compatible Silver Plan- $5000 | HMO | 100028879 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26128 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $1,500 | PPO | 100028891 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26129 | BlueChoice HMO Referral HDHP Bronze Plan - $5,500 | HMO | 100028424 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26130 | BlueChoice HMO Referral 70 Silver Plan - $2,000 | HMO | 100028433 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26131 | BlueChoice HMO HRA Integrated Compatible Bronze Plan - $6,000 | HMO | 100028445 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26132 | BlueChoice HMO HDHP Silver Plan - $1,500 | HMO | 100028453 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26133 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100028460 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26134 | BlueChoice HMO Gold Plan - $1,000 | HMO | 100028472 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26135 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,500 | HMO | 100028474 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26136 | BlueChoice Advantage HDHP Bronze Plan - $6,000 | POS | 100028341 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26137 | BlueChoice Advantage HSA Compatible Silver Plan - $3,000 | POS | 100028342 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26138 | BlueChoice HMO Gold Plan - $3,000 | HMO | 100028487 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26139 | BlueChoice HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100028490 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26140 | BlueChoice HMO HRA Non-Integrated Compatible Silver Plan - $5,000 | HMO | 100028495 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26141 | BluePreferred PPO HRA Integrated Compatible 80/60 Silver Plan - $2,250 | PPO | 100028509 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26142 | BluePreferred PPO HDHP 80/60 Silver Plan - $2,250 | PPO | 100028512 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26143 | BluePreferred PPO HRA Integrated BlueFund 90/70 Gold Plan - $1,000 | PPO | 100028520 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26144 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,000 | PPO | 100028551 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Platinum | 26145 | BluePreferred PPO Platinum Plan | PPO | 100028567 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26146 | BlueChoice Plus HSA BlueFund Silver Plan - $1,500 | POS | 100028587 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26147 | HealthyBlue Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100028618 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26148 | HealthyBlue Advantage HSA BlueFund Silver Plan - $2,000 | POS | 100028635 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26149 | HealthyBlue Advantage HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100028646 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26150 | HealthyBlue PPO HDHP Silver Plan - $2,000 | PPO | 100028665 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26151 | HealthyBlue PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100028672 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Platinum | 26152 | HealthyBlue PPO Platinum Plan- $500 | PPO | 100028676 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26153 | BluePreferred PPO HRA Integrated BlueFund 80/60 Silver Plan - $2,250 | PPO | 100028902 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26154 | BluePreferred PPO HRA Integrated Compatible 90/70 Gold Plan - $1,000 SE | PPO | 100028906 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26155 | BluePreferred PPO HRA Integrated BlueFund 90/70 Gold Plan - $1,000 | PPO | 100028909 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26156 | BluePreferred PPO 90/70 Gold Plan - $1,000 | PPO | 100028910 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26157 | BluePreferred PPO HRA Non-Integrated BlueFund Silver Plan - $1,000 | PPO | 100028913 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Platinum | 26158 | BluePreferred PPO 100%/80% Platinum Plan - SE | PPO | 100028922 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26159 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $2,500 | POS | 100028946 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26160 | HealthyBlue HMO Gold Plan - $1,500 | HMO | 100028974 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26161 | HealthyBlue HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100028975 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26162 | HealthyBlue PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100028983 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26163 | HealthyBlue PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100028984 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26164 | BlueChoice Advantage HRA Integrated BlueFund Bronze Plan - $6,000 | POS | 100028764 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26165 | BlueChoice Advantage HSA Compatible Silver Plan - $1,500 | POS | 100028768 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26166 | BlueChoice Advantage HSA Compatible Gold Plan - $1,500 | POS | 100028783 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26167 | BlueChoice Advantage HRA Non-Integrated BlueFund Bronze Plan - $5,750 | POS | 100028787 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26168 | BlueChoice Advantage HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 100028793 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26169 | BlueChoice HMO Referral Silver Plan - $4,000 | HMO | 100028812 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26170 | BlueChoice HMO HSA BlueFund Silver Plan - $1,500 | HMO | 100028832 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26171 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100028836 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26172 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 | HMO | 100028839 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26173 | BlueChoice HMO HSA Compatible Silver Plan - $2,500 | HMO | 100028848 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26174 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 SE | HMO | 100028858 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26175 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,500 | HMO | 100028863 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26176 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 100028869 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26177 | BlueChoice HMO Silver Plan - $1,000 | HMO | 100028871 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26178 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100028886 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26179 | BlueChoice Advantage Bronze Plan - $5,750 | POS | 100028389 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26180 | BlueChoice Advantage Silver Plan - $4,000 | POS | 100028395 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Platinum | 26181 | BlueChoice Advantage Platinum Plan | POS | 100028418 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26182 | BlueChoice HMO Referral 70 HRA Non-Integrated BlueFund Silver Plan - $2,000 | HMO | 100028434 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Platinum | 26183 | BlueChoice HMO Platinum Plan | HMO | 100028440 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26184 | BlueChoice HMO HDHP Bronze Plan - $6,000 | HMO | 100028443 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26185 | BlueChoice HMO HSA Compatible Silver Plan - $3,000 | HMO | 100028447 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26186 | BlueChoice HMO HSA BlueFund Silver Plan - $1,500 | HMO | 100028454 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26187 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 | HMO | 100028457 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26188 | BlueChoice HMO HSA BlueFund Silver Plan - $2,250 | HMO | 100028464 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26189 | BlueChoice HMO HDHP Gold Plan - $1,500 | HMO | 100028468 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26190 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100028350 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26191 | BlueChoice Advantage HDHP Silver Plan - $1,500 | POS | 100028351 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26192 | BlueChoice Advantage HSA Compatible Gold Plan - $1,500 | POS | 100028352 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26193 | BlueChoice Advantage HRA Integrated BlueFund Gold Plan - $1,500 | POS | 100028355 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26194 | BlueChoice Advantage HDHP Silver Plan - $2,500 | POS | 100028361 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26195 | BlueChoice HMO Gold Plan - $1,500 | HMO | 100028491 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26196 | BluePreferred PPO HRA Integrated Compatible Bronze Plan - $5,500 | PPO | 100028514 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26197 | BluePreferred PPO HSA Compatible Bronze Plan - $5,500 | PPO | 100028516 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26198 | BluePreferred PPO Gold Plan - $1,500 | PPO | 100028555 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26199 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 100028556 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Platinum | 26200 | BluePreferred PPO Platinum Plan- $500 | PPO | 100028568 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26201 | BlueChoice Plus HRA Integrated Compatible Bronze Plan - $6,000 | POS | 100028573 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26202 | BlueChoice Plus HSA Compatible Silver Plan - $3,000 | POS | 100028580 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26203 | BlueChoice Plus HSA Compatible Silver Plan - $2,500 | POS | 100028590 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26204 | HealthyBlue Plus HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100028630 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26205 | HealthyBlue Advantage HDHP Silver Plan - $2,000 | POS | 100028638 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26206 | HealthyBlue HMO HSA Compatible Silver Plan - $2,000 | HMO | 100028652 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26207 | HealthyBlue PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100028662 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26208 | BluePreferred PPO HDHP 80/60 Silver Plan - $2,250 SE | PPO | 100028894 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26209 | BluePreferred PPO 90/70 Gold Plan - $1,000 (A) | PPO | 100028905 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26210 | BlueChoice Plus HRA Integrated BlueFund Bronze Plan - $6,000 | POS | 100028930 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26211 | HealthyBlue Plus HDHP Silver Plan - $2,000 | POS | 100028951 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26212 | HealthyBlue Plus HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100028954 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26213 | HealthyBlue Advantage HSA Compatible Silver Plan - $2,000 | POS | 100028962 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Platinum | 26214 | BlueChoice Plus Opt-Out Platinum Plan | POS | 100028926 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26215 | HealthyBlue PPO HDHP Silver Plan - $2,000 | PPO | 100028978 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26216 | HealthyBlue PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100028982 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26217 | BlueChoice Advantage HDHP Silver Plan - $3,000 | POS | 100028771 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26218 | BlueChoice Advantage HRA Integrated Compatible Gold Plan - $1,500 | POS | 100028785 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26219 | BlueChoice Advantage HRA Non-Integrated BlueFund Gold Plan- $3000 | POS | 100028796 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26220 | BlueChoice Advantage Silver Plan- $5000 | POS | 100028798 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26221 | BlueChoice Advantage Gold Plan - $500 | POS | 100028801 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Platinum | 26222 | BlueChoice Advantage Platinum Plan | POS | 100028802 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26223 | BlueChoice HMO Referral 70 HRA Non-Integrated Compatible Silver Plan - $2,000 | HMO | 100028811 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26224 | BlueChoice HMO Referral 80 HRA Non-Integrated BlueFund Gold Plan - $1,000 | HMO | 100028816 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26225 | BlueChoice HMO Gold Plan - $500 | HMO | 100028818 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26226 | BlueChoice HMO HSA BlueFund Bronze Plan - $6,000 | HMO | 100028821 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26227 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,250 SE | HMO | 100028830 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26228 | BlueChoice HMO HSA Compatible Silver Plan - $3,000 | HMO | 100028843 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26229 | BlueChoice HMO HDHP Gold Plan - $1,000 | HMO | 100028865 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26230 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 | HMO | 100028866 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26231 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 | HMO | 100028867 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26232 | BlueChoice HMO HRA Non-Integrated BlueFund Gold Plan- $3000 | HMO | 100028881 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26233 | BluePreferred PPO HSA Compatible Silver Plan - $2,000 | PPO | 100028885 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26234 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100028887 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26235 | BluePreferred PPO HSA Compatible Silver Plan - $1,500 | PPO | 100028890 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26236 | BlueChoice Advantage HRA Non-Integrated BlueFund Bronze Plan - $5,750 | POS | 100028388 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26237 | BlueChoice HMO Referral HSA BlueFund Bronze Plan - $5,500 | HMO | 100028425 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26238 | BlueChoice HMO Referral 80 Gold Plan - $1,000 | HMO | 100028436 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26239 | BlueChoice HMO Referral 80 HRA Non-Integrated Compatible Gold Plan - $1,000 | HMO | 100028438 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26240 | BlueChoice HMO HSA BlueFund Bronze Plan - $6,000 | HMO | 100028444 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26241 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100028459 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26242 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 | HMO | 100028471 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26243 | BlueChoice HMO HSA BlueFund Silver Plan - $2,500 | HMO | 100028477 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26244 | BlueChoice HMO Referral Gold Plan | HMO | 100028481 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26245 | BlueChoice HMO HRA Non-Integrated BlueFund Silver Plan - $1,000 | HMO | 100028486 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26246 | BlueChoice Advantage HRA Integrated BlueFund Bronze Plan - $6,000 | POS | 100028340 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26247 | BlueChoice Advantage HSA BlueFund Bronze Plan - $6,000 | POS | 100028338 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26248 | BlueChoice HMO HRA Non-Integrated BlueFund Gold Plan - $3,000 | HMO | 100028488 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26249 | BlueChoice HMO HRA Non-Integrated BlueFund Silver Plan - $5,000 | HMO | 100028494 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26250 | BluePreferred PPO HSA Compatible Silver Plan - $1,500 | PPO | 100028499 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26251 | BluePreferred PPO HSA Compatible Silver Plan - $2,000 | PPO | 100028505 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26252 | BluePreferred PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100028507 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26253 | BlueChoice Plus HDHP Bronze Plan - $6,000 | POS | 100028576 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26254 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $2,500 | POS | 100028588 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26255 | BlueChoice Plus HSA BlueFund Silver Plan - $2,500 | POS | 100028592 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26256 | BlueChoice Plus Gold Plan - $1,000 | POS | 100028609 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26257 | HealthyBlue Plus HSA BlueFund Silver Plan - $2,000 | POS | 100028617 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26258 | HealthyBlue Plus Gold Plan - $1,500 | POS | 100028629 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26259 | HealthyBlue Plus HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100028631 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26260 | HealthyBlue Advantage HRA Integrated BlueFund Silver Plan - $2,000 | POS | 100028637 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Platinum | 26261 | HealthyBlue Advantage Platinum Plan- $500 | POS | 100028650 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26262 | HealthyBlue HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100028655 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Platinum | 26263 | HealthyBlue HMO Platinum Plan- $500 | HMO | 100028660 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26264 | HealthyBlue PPO Gold Plan - $1,500 | PPO | 100028670 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26265 | BluePreferred PPO HRA Non-Integrated Compatible Silver Plan - $1,000 | PPO | 100028912 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26266 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,000 | PPO | 100028916 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26267 | BluePreferred PPO Gold Plan - $1,500 | PPO | 100028917 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26268 | BluePreferred PPO Gold Plan - $500 | PPO | 100028920 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Platinum | 26269 | BluePreferred PPO Platinum Plan- $500 | PPO | 100028924 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26270 | BlueChoice Plus HSA Compatible Silver Plan - $1,500 | POS | 100028934 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26271 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100028940 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26272 | BlueChoice Plus HSA BlueFund Silver Plan - $2,500 | POS | 100028943 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26273 | BlueChoice Plus Gold Plan - $1,000 | POS | 100028947 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26274 | HealthyBlue Advantage HSA BlueFund Silver Plan - $2,000 | POS | 100028961 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26275 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100028769 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26276 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $2,500 | POS | 100028780 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26277 | BlueChoice Advantage HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100028794 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26278 | BlueChoice Advantage HRA Non-Integrated Compatible Gold Plan- $3000 | POS | 100028797 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26279 | BlueChoice Advantage HRA Non-Integrated Compatible Silver Plan- $5000 | POS | 100028800 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Platinum | 26280 | BlueChoice Advantage 90%/70% Platinum Plan SE | POS | 100028804 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26281 | BlueChoice HMO Referral Bronze Plan - $5,750 | HMO | 100028806 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26282 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Bronze Plan - $5,750 | HMO | 100028807 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26283 | BlueChoice HMO Referral 80 HRA Non-Integrated Compatible Gold Plan - $1,000 | HMO | 100028817 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26284 | BlueChoice HMO HRA Integrated BlueFund Bronze Plan - $6,000 | HMO | 100028823 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26285 | BlueChoice HMO HSA Compatible Silver Plan - $2,250 SE | HMO | 100028828 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26286 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $1,500 | HMO | 100028834 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26287 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $1,500 | HMO | 100028835 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26288 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100028840 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26289 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $3,000 | HMO | 100028844 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26290 | BlueChoice HMO HDHP Silver Plan - $2,250 | HMO | 100028851 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26291 | BlueChoice HMO Referral Gold Plan | HMO | 100028868 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Platinum | 26292 | BlueChoice HMO Referral Platinum Plan | HMO | 100028870 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26293 | BlueChoice HMO Gold Plan - $1,500 | HMO | 100028874 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26294 | BluePreferred PPO HDHP Silver Plan - $1,500 | PPO | 100028888 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26295 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Silver Plan - $4,000 | HMO | 100028429 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26296 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $3,000 | HMO | 100028446 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26297 | BlueChoice HMO HDHP Silver Plan - $2,000 | HMO | 100028458 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26298 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 | HMO | 100028473 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26299 | BlueChoice HMO HDHP Silver Plan - $2,500 | HMO | 100028476 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26300 | BlueChoice Advantage HSA BlueFund Gold Plan - $1,500 | POS | 100028353 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26301 | BlueChoice Advantage HSA Compatible Silver Plan - $2,500 | POS | 100028357 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26302 | BlueChoice HMO HRA Non-Integrated Compatible Gold Plan - $3,000 | HMO | 100028489 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26303 | BluePreferred PPO HRA Integrated BlueFund 80/60 Silver Plan - $2,250 | PPO | 100028510 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26304 | BluePreferred PPO HRA Integrated BlueFund Bronze Plan - $5,500 | PPO | 100028515 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26305 | BluePreferred PPO HRA Integrated Compatible 90/70 Gold Plan - $1,000 | PPO | 100028519 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26306 | BluePreferred PPO HRA Non-Integrated Compatible Silver Plan - $1,000 | PPO | 100028548 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Platinum | 26307 | BlueChoice Plus Opt-Out Platinum Plan | POS | 100028572 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26308 | BlueChoice Plus HSA BlueFund Bronze Plan - $6,000 | POS | 100028577 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26309 | BlueChoice Plus HDHP Silver Plan - $3,000 | POS | 100028581 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26310 | BlueChoice Plus HSA BlueFund Silver Plan - $3,000 | POS | 100028582 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26311 | BlueChoice Plus HSA Compatible Silver Plan - $1,500 | POS | 100028585 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26312 | BlueChoice Plus HDHP Silver Plan - $1,500 | POS | 100028586 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26313 | HealthyBlue Plus HSA Compatible Silver Plan - $2,000 | POS | 100028616 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26314 | HealthyBlue Plus HDHP Silver Plan - $2,000 | POS | 100028620 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26315 | HealthyBlue Advantage Gold Plan - $1,500 | POS | 100028644 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26316 | HealthyBlue PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 100028663 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26317 | HealthyBlue PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100028664 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26318 | BluePreferred PPO HSA BlueFund 80/60 Silver Plan - $2,250 | PPO | 100028900 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26319 | BlueChoice Plus HDHP Silver Plan - $1,500 | POS | 100028932 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26320 | BlueChoice Plus HSA Compatible Silver Plan - $3,000 | POS | 100028939 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26321 | BlueChoice Plus HSA Compatible Silver Plan - $2,500 | POS | 100028944 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26322 | BlueChoice Plus HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100028949 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26323 | BlueChoice Plus Gold Plan - $500 | POS | 100028950 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26324 | HealthyBlue Plus Gold Plan - $1,500 | POS | 100028956 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26325 | HealthyBlue Plus HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100028957 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Platinum | 26326 | HealthyBlue Plus Platinum Plan- $500 | POS | 100028959 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26327 | HealthyBlue Advantage HRA Non-Integrated BlueFund Gold Plan - $1,500 | POS | 100028966 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26328 | HealthyBlue HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100028976 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26329 | HealthyBlue PPO Gold Plan - $1,500 | PPO | 100028985 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26330 | BlueChoice Advantage HSA BlueFund Bronze Plan - $6,000 | POS | 100028762 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26331 | BlueChoice Advantage HRA Integrated Compatible Bronze Plan - $6,000 | POS | 100028765 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26332 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100028767 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26333 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $3,000 | POS | 100028775 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26334 | BlueChoice Advantage HSA BlueFund Silver Plan - $2,500 | POS | 100028777 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26335 | BlueChoice Advantage Bronze Plan - $5,750 | POS | 100028786 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26336 | BlueChoice HMO Referral HRA Non-Integrated Compatible Bronze Plan - $5,750 | HMO | 100028808 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26337 | BlueChoice HMO Referral 70 Silver Plan - $2,000 | HMO | 100028809 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26338 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Silver Plan - $4,000 | HMO | 100028813 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26339 | BlueChoice HMO HSA Compatible Bronze Plan - $6,000 | HMO | 100028822 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26340 | BlueChoice HMO HSA BlueFund Silver Plan - $2,250 SE | HMO | 100028827 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26341 | BlueChoice HMO HDHP Silver Plan - $1,500 | HMO | 100028831 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26342 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,500 | HMO | 100028849 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26343 | BlueChoice HMO HDHP Gold Plan - $1,500 | HMO | 100028860 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26344 | BlueChoice Advantage HRA Non-Integrated BlueFund Silver Plan - $5,000 | POS | 100028391 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26345 | BlueChoice Advantage HRA Non-Integrated Compatible Silver Plan - $4,000 | POS | 100028393 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26346 | BlueChoice Advantage HRA Non-Integrated BlueFund Gold Plan - $3,000 | POS | 100028397 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26347 | BlueChoice HMO Referral HRA Integrated Compatible Bronze Plan - $5,500 | HMO | 100028426 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26348 | BlueChoice HMO Referral Silver Plan - $4,000 | HMO | 100028427 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26349 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Bronze Plan - $5,750 | HMO | 100028431 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26350 | BlueChoice HMO Referral 70 HRA Non-Integrated Compatible Silver Plan - $2,000 | HMO | 100028435 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26351 | BlueChoice HMO Referral 80 HRA Non-Integrated BlueFund Gold Plan - $1,000 | HMO | 100028437 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26352 | BlueChoice HMO HSA BlueFund Silver Plan - $3,000 | HMO | 100028449 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26353 | BlueChoice HMO HSA Compatible Silver Plan - $1,500 | HMO | 100028452 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26354 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100028456 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26355 | BlueChoice HMO HDHP Silver Plan - $2,250 | HMO | 100028463 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26356 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,500 | HMO | 100028466 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26357 | BlueChoice HMO HSA Compatible Gold Plan - $1,500 | HMO | 100028467 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26358 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,500 | HMO | 100028470 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26359 | BlueChoice HMO HSA Compatible Silver Plan - $2,500 | HMO | 100028475 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26360 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,500 | HMO | 100028478 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26361 | BlueChoice Advantage HSA BlueFund Silver Plan - $3,000 | POS | 100028343 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26362 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100028345 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26363 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $1,500 | PPO | 100028497 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26364 | BluePreferred PPO HSA BlueFund Silver Plan - $1,500 | PPO | 100028501 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26365 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100028504 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26366 | BluePreferred PPO HSA Compatible 80/60 Silver Plan - $2,250 | PPO | 100028511 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26367 | BluePreferred PPO HSA BlueFund 80/60 Silver Plan - $2,250 | PPO | 100028513 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26368 | BluePreferred PPO HSA BlueFund Bronze Plan - $5,500 | PPO | 100028518 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26369 | BluePreferred PPO HRA Non-Integrated BlueFund Silver Plan - $1,000 | PPO | 100028550 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26370 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $3,000 | POS | 100028579 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26371 | BlueChoice Plus Gold Plan - $500 | POS | 100028615 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26372 | HealthyBlue Advantage HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100028645 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26373 | HealthyBlue HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 100028654 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26374 | HealthyBlue PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100028671 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26375 | BluePreferred PPO HDHP 80/60 Silver Plan - $2,250 | PPO | 100028899 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Platinum | 26376 | BluePreferred PPO 100%/80% Platinum Plan | PPO | 100028925 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26377 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $1,500 | POS | 100028936 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26378 | BlueChoice Plus HSA BlueFund Silver Plan - $3,000 | POS | 100028938 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26379 | HealthyBlue Plus HRA Integrated Compatible Silver Plan - $2,000 | POS | 100028955 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26380 | HealthyBlue Plus HRA Non-Integrated Compatible Gold Plan - $1,500 | POS | 100028958 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Platinum | 26381 | HealthyBlue Advantage Platinum Plan- $500 | POS | 100028968 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26382 | HealthyBlue HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 100028972 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Platinum | 26383 | HealthyBlue HMO Platinum Plan- $500 | HMO | 100028977 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26384 | HealthyBlue PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 100028981 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Bronze | 26385 | BlueChoice Advantage HDHP Bronze Plan - $6,000 | POS | 100028761 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26386 | BlueChoice Advantage HDHP Silver Plan - $1,500 | POS | 100028766 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26387 | BlueChoice Advantage HDHP Silver Plan - $2,500 | POS | 100028776 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26388 | BlueChoice Advantage HSA BlueFund Gold Plan - $1,500 | POS | 100028782 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26389 | BlueChoice Advantage Gold Plan - $1,000 | POS | 100028792 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Platinum | 26390 | BlueChoice Advantage 90%/70% Platinum Plan | POS | 100028805 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26391 | BlueChoice HMO Referral 80 Gold Plan - $1,000 | HMO | 100028815 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26392 | BlueChoice HMO HDHP Silver Plan - $2,500 | HMO | 100028846 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26393 | BlueChoice HMO HSA BlueFund Silver Plan - $2,500 | HMO | 100028847 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26394 | BlueChoice HMO HSA Compatible Gold Plan - $1,500 | HMO | 100028862 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26395 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,500 | HMO | 100028864 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26396 | BlueChoice HMO HRA Non-Integrated Compatible Silver Plan - $1,000 | HMO | 100028873 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26397 | BlueChoice HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100028875 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26398 | BlueChoice HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 100028876 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26399 | BlueChoice HMO HRA Non-Integrated BlueFund Silver Plan- $5000 | HMO | 100028878 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26400 | BluePreferred PPO HDHP Silver Plan - $2,000 | PPO | 100028883 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26401 | BluePreferred PPO HSA BlueFund Silver Plan - $2,000 | PPO | 100028884 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26402 | BlueChoice Advantage Gold Plan - $3,000 | POS | 100028396 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26403 | BlueChoice Advantage HRA Non-Integrated Compatible Gold Plan - $3,000 | POS | 100028398 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26404 | BlueChoice Advantage HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 100028399 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26405 | BlueChoice Advantage Gold Plan - $1,000 | POS | 100028401 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26406 | BlueChoice Advantage Gold Plan - $500 | POS | 100028417 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26407 | BlueChoice HMO Referral Bronze Plan - $5,750 | HMO | 100028430 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26408 | BlueChoice HMO HRA Integrated BlueFund Bronze Plan - $6,000 | HMO | 100028441 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26409 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $3,000 | HMO | 100028450 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26410 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $1,500 | HMO | 100028451 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26411 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,250 | HMO | 100028461 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26412 | BlueChoice HMO HSA Compatible Silver Plan - $2,250 | HMO | 100028462 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26413 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $3,000 | POS | 100028344 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26414 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100028348 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26415 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $1,500 | POS | 100028349 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26416 | BluePreferred PPO HDHP Silver Plan - $2,000 | PPO | 100028506 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26417 | BluePreferred PPO Silver Plan - $1,000 | PPO | 100028549 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26418 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,000 | PPO | 100028553 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26419 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 100028554 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26420 | BlueChoice Plus HRA Integrated BlueFund Bronze Plan - $6,000 | POS | 100028574 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26421 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $1,500 | POS | 100028584 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26422 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $2,500 | POS | 100028589 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Platinum | 26423 | HealthyBlue Plus Platinum Plan- $500 | POS | 100028632 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26424 | HealthyBlue Advantage HSA Compatible Silver Plan - $2,000 | POS | 100028634 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26425 | HealthyBlue HMO HSA BlueFund Silver Plan - $2,000 | HMO | 100028653 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26426 | HealthyBlue HMO HDHP Silver Plan - $2,000 | HMO | 100028656 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26427 | HealthyBlue HMO Gold Plan - $1,500 | HMO | 100028657 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26428 | HealthyBlue HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 100028659 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26429 | HealthyBlue PPO HSA Compatible Silver Plan - $2,000 | PPO | 100028661 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26430 | BluePreferred PPO 90/70 Gold Plan - $1,000 | PPO | 100028508 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26431 | BlueChoice HMO HDHP/HSA/HRA Silver Plan - $2,000 | HMO | 100028706 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Platinum | 26432 | BlueChoice HMO Referral Platinum Plan | HMO | 100028714 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26433 | BlueChoice HMO HRA-Standard Silver Plan - $1,000 | HMO | 100028720 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26434 | HealthyBlue Plus HDHP/HSA/HRA Silver Plan - $2,000 | POS | 100028745 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Platinum | 26435 | HealthyBlue Advantage Platinum Plan- $500 | POS | 100028752 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Platinum | 26436 | HealthyBlue PPO Platinum Plan- $500 | PPO | 100028760 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26437 | BlueChoice HMO Referral HSA/HRA Bronze Plan - $5,500 | HMO | 100028421 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26438 | BlueChoice Advantage HDHP/HSA/HRA Gold Plan - $1,500 | POS | 100028685 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Bronze | 26439 | BlueChoice Advantage HRA-Standard Bronze Plan - $5,750 | POS | 100028691 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26440 | BlueChoice HMO HDHP/HSA/HRA Silver Plan - $3,000 | HMO | 100028702 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26441 | BlueChoice HMO HDHP/HSA/HRA Silver Plan - $1,500 | HMO | 100028708 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26442 | BlueChoice HMO HDHP/HSA/HRA Gold Plan - $1,500 | HMO | 100028710 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Bronze | 26443 | BlueChoice HMO HDHP/HSA/HRA Bronze Plan - $6,000 | HMO | 100028712 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26444 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 100028716 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26445 | BlueChoice Plus HDHP/HSA/HRA Silver Plan - $1,500 | POS | 100028739 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26446 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 100028678 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26447 | BlueChoice HMO Referral HRA-Standard Silver Plan - $4,000 | HMO | 100028698 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Platinum | 26448 | BlueChoice Plus Opt-Out Platinum Plan | POS | 100028734 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26449 | HealthyBlue Advantage HDHP/HSA/HRA Silver Plan - $2,000 | POS | 100028749 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26450 | BlueChoice HMO Referral 80 HRA-Standard Gold Plan - $1,000 | HMO | 100028697 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26451 | BluePreferred PPO HRA Silver Plan - $1,000 | PPO | 100028730 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Platinum | 26452 | BluePreferred PPO Platinum Plan- $500 | PPO | 100028731 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Platinum | 26453 | BluePreferred PPO Platinum Plan | PPO | 100028732 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Platinum | 26454 | HealthyBlue Plus Platinum Plan- $500 | POS | 100028748 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26455 | BluePreferred PPO Gold Plan - $1,000 | PPO | 100028904 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Platinum | 26456 | BlueChoice Advantage 90%/70% Platinum Plan | POS | 100028803 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26457 | BlueChoice HMO HSA/HRA Silver Plan - $2,250 | HMO | 100028825 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Silver | 26458 | BluePreferred PPO HSA/HRA 80/60 Silver Plan - $2,250 | PPO | 100028893 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26459 | BlueChoice Advantage HRA-Standard Gold Plan - $3,000 | POS | 100028689 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Bronze | 26460 | BlueChoice HMO Referral HRA-Standard Bronze Plan - $5,750 | HMO | 100028699 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26461 | BlueChoice HMO HDHP/HSA/HRA Silver Plan - $2,500 | HMO | 100028704 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26462 | BluePreferred PPO HDHP/HSA/HRA 80/60 Silver Plan - $2,250 | PPO | 100028725 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26463 | BluePreferred PPO HSA BlueFund Silver Plan - $1,500 | PPO | 100028726 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26464 | BluePreferred PPO HRA Gold Plan - $1,000 | PPO | 100028729 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26465 | BlueChoice Plus HRA-Standard Gold Plan - $1,000 | POS | 100028743 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26466 | HealthyBlue Plus HRA-Standard Gold Plan - $1,500 | POS | 100028747 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26467 | HealthyBlue Advantage HRA-Standard Gold Plan - $1,500 | POS | 100028751 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26468 | HealthyBlue PPO HDHP/HSA/HRA Silver Plan - $2,000 | PPO | 100028757 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26469 | BlueChoice HMO HSA/HRA Silver Plan - $2,250 | HMO | 100028479 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Gold | 26470 | BlueChoice HMO Gold Plan - $1,000 | HMO | 100028480 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26471 | BlueChoice Advantage HDHP/HSA/HRA Silver Plan - $3,000 | POS | 100028679 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26472 | BlueChoice Advantage HDHP/HSA/HRA Silver Plan - $1,500 | POS | 100028683 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26473 | BlueChoice Advantage HRA-Standard Silver Plan - $5,000 | POS | 100028692 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26474 | BlueChoice Advantage Gold Plan - $500 | POS | 100028695 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26475 | BlueChoice HMO Gold Plan - $500 | HMO | 100028700 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26476 | BluePreferred PPO HDHP/HSA/HRA Silver Plan - $1,500 | PPO | 100028723 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26477 | BlueChoice Plus HDHP/HSA/HRA Silver Plan - $3,000 | POS | 100028735 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26478 | BlueChoice Plus HDHP/HSA/HRA Silver Plan - $2,500 | POS | 100028737 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Bronze | 26479 | BlueChoice Plus HDHP/HSA/HRA Bronze Plan - $6,000 | POS | 100028741 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26480 | HealthyBlue HMO HRA-Standard Gold Plan - $1,500 | HMO | 100028755 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26481 | HealthyBlue PPO HRA-Standard Gold Plan - $1,500 | PPO | 100028759 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Platinum | 26482 | BluePreferred PPO 100%/80% Platinum Plan | PPO | 100028921 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Bronze | 26483 | BluePreferred PPO HSA/HRA Bronze Plan - $5,500 | PPO | 100028496 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Bronze | 26484 | BlueChoice Advantage HDHP/HSA/HRA Bronze Plan - $6,000 | POS | 100028687 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26485 | BlueChoice Advantage HRA-Standard Gold Plan - $1,000 | POS | 100028690 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26486 | BlueChoice HMO Referral 70 HRA-Standard Silver Plan - $2,000 | HMO | 100028696 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Platinum | 26487 | BlueChoice HMO Platinum Plan | HMO | 100028701 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26488 | BlueChoice HMO HRA-Standard Gold Plan - $3,000 | HMO | 100028717 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26489 | BlueChoice HMO HRA-Standard Gold Plan - $1,500 | HMO | 100028718 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26490 | BluePreferred PPO HDHP/HSA/HRA Silver Plan - $2,000 | PPO | 100028721 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26491 | BluePreferred PPO HRA-Standard Gold Plan - $1,500 | PPO | 100028728 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26492 | BluePreferred PPO Gold Plan - $500 | PPO | 100028733 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Platinum | 26493 | HealthyBlue HMO Platinum Plan- $500 | HMO | 100028756 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| VA | M | Gold | 26494 | BlueChoice HMO Gold Plan - $1,000 | HMO | 100028856 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| MD | M | Silver | 26495 | BluePreferred PPO HSA/HRA 80/60 Silver Plan - $2,250 | PPO | 100028502 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26496 | BlueChoice Advantage HDHP/HSA/HRA Silver Plan - $2,500 | POS | 100028681 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26497 | BlueChoice Advantage HRA-Standard Silver Plan - $4,000 | POS | 100028693 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Platinum | 26498 | BlueChoice Advantage Platinum Plan | POS | 100028694 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26499 | BlueChoice HMO Referral Gold Plan | HMO | 100028715 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26500 | BlueChoice HMO HRA-Standard Silver Plan - $5,000 | HMO | 100028719 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26501 | BluePreferred PPO 90/70 HRA Gold Plan - $1,000 | PPO | 100028727 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26502 | BlueChoice Plus Gold Plan - $500 | POS | 100028744 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Silver | 26503 | HealthyBlue HMO HDHP/HSA/HRA Silver Plan - $2,000 | HMO | 100028753 | ON-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | CAF | |
| DC | M | Gold | 26600 | BLUEPREFERRED PPO GOLD PLAN - $500 | PPO | 100032146 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26601 | BLUEPREFERRED PPO HDHP/HSA/HRA 80/60 SILVER PLAN - $2,300 | PPO | 100032156 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Platinum | 26602 | HEALTHYBLUE ADVANTAGE PLATINUM PLAN- $500 | POS | 100032165 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Platinum | 26603 | BLUECHOICE HMO PLATINUM PLAN | HMO | 100032189 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Gold | 26604 | BLUECHOICE HMO HDHP/HSA/HRA GOLD PLAN - $1,500 | HMO | 100032199 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26605 | BLUECHOICE HMO SILVER PLAN - $5,000 (can be HRA) | HMO | 100032203 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Gold | 26606 | BLUECHOICE PLUS GOLD PLAN - $500 | POS | 100032225 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26607 | BLUEPREFERRED PPO HDHP/HSA/HRA SILVER PLAN - $2,000 | PPO | 100032149 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Gold | 26608 | BLUECHOICE ADVANTAGE GOLD PLAN - $500 | POS | 100032161 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Platinum | 26609 | BLUECHOICE HMO REFERRAL PLATINUM PLAN | HMO | 100032213 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Platinum | 26610 | HEALTHYBLUE PLUS PLATINUM PLAN -$500 | POS | 100032223 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Platinum | 26611 | BLUEPREFERRED PPO PLATINUM PLAN | PPO | 100032151 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26612 | BLUEPREFERRED PPO HDHP/HSA/HRA 70 SILVER PLAN - $2,000 | PPO | 100032158 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Bronze | 26613 | BLUECHOICE ADVANTAGE BRONZE PLAN - $6,500 (can be HRA) | POS | 100032170 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Gold | 26614 | BLUEPREFERRED PPO GOLD PLAN - $1,000 (can be HRA) | PPO | 100032145 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Platinum | 26615 | BLUECHOICE ADVANTAGE PLATINUM PLAN | POS | 100032162 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26616 | BLUECHOICE ADVANTAGE HDHP/HSA/HRA SILVER PLAN - $1,500 | POS | 100032163 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Gold | 26617 | BLUECHOICE ADVANTAGE HDHP/HSA/HRA GOLD PLAN - $1,500 | POS | 100032171 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Gold | 26618 | BLUECHOICE ADVANTAGE HDHP/HSA/HRA 90 GOLD PLAN - $1,500 | POS | 100032181 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26619 | BLUECHOICE ADVANTAGE HDHP/HSA/HRA 70 SILVER PLAN - $3,000 | POS | 100032185 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Gold | 26620 | BLUECHOICE HMO GOLD PLAN - $500 | HMO | 100032188 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Bronze | 26621 | BLUECHOICE HMO HDHP/HSA/HRA BRONZE PLAN - $6,000 | HMO | 100032194 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Gold | 26622 | BLUECHOICE HMO HDHP/HSA/HRA 90 GOLD PLAN - $1,500 | HMO | 100032205 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Platinum | 26623 | BLUEPREFERRED PPO PLATINUM PLAN - $500 | PPO | 100032152 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Gold | 26624 | BLUEPREFERRED PPO GOLD PLAN - $1,500 (can be HRA) | PPO | 100032154 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26625 | BLUECHOICE ADVANTAGE HSA BLUEFUND SILVER PLAN - $1,500 | POS | 100032174 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26626 | BLUECHOICE HMO SILVER PLAN - $1,500 (can be HRA) | HMO | 100032198 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26627 | BLUECHOICE HMO HDHP/HSA/HRA 70 SILVER PLAN - $3,000 | HMO | 100032211 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26628 | BLUECHOICE PLUS HDHP/HSA/HRA SILVER PLAN - $1,500 | POS | 100032219 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Gold | 26629 | BLUECHOICE PLUS GOLD PLAN - $1,000 (can be HRA) | POS | 100032224 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26630 | BLUEPREFERRED PPO SILVER PLAN - $1,500 (can be HRA) | PPO | 100032153 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26631 | BLUEPREFERRED PPO HSA BLUEFUND SILVER PLAN - $1,500 | PPO | 100032157 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Gold | 26632 | BLUECHOICE ADVANTAGE GOLD PLAN - $1,000 (can be HRA) | POS | 100032160 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Bronze | 26633 | BLUECHOICE ADVANTAGE HDHP/HSA/HRA BRONZE PLAN - $6,000 | POS | 100032166 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26634 | BLUECHOICE ADVANTAGE HDHP/HSA/HRA SILVER PLAN - $3,000 | POS | 100032168 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26635 | BLUECHOICE ADVANTAGE SILVER PLAN - $4,000 (can be HRA) | POS | 100032173 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Gold | 26636 | BLUECHOICE ADVANTAGE GOLD PLAN - $3,000 (can be HRA) | POS | 100032178 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26637 | BLUECHOICE HMO HDHP/HSA/HRA SILVER PLAN - $2,500 | HMO | 100032201 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Gold | 26638 | BLUECHOICE HMO REFERRAL GOLD PLAN - $500 | HMO | 100032214 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Bronze | 26639 | BLUECHOICE HMO REFERRAL BRONZE PLAN - $6,500 (can be HRA) | HMO | 100032215 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26640 | BLUECHOICE PLUS HDHP/HSA/HRA SILVER - $3,000 | POS | 100032221 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Platinum | 26641 | BLUECHOICE PLUS OPT-OUT PLATINUM PLAN | POS | 100032230 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26642 | BLUEPREFERRED PPO HRA SILVER PLAN - $1,500 | PPO | 100032147 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26643 | BLUECHOICE ADVANTAGE HDHP/HSA/HRA SILVER PLAN - $2,500 | POS | 100032175 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26644 | BLUECHOICE ADVANTAGE HDHP/HSA/HRA SILVER PLAN - $2,000 | POS | 100032179 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Gold | 26645 | BLUECHOICE HMO GOLD PLAN - $1,500 (can be HRA) | HMO | 100032187 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26646 | BLUECHOICE HMO HDHP/HSA/HRA SILVER PLAN - $1,500 | HMO | 100032190 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26647 | BLUECHOICE HMO HDHP/HSA/HRA SILVER PLAN - $2,000 | HMO | 100032192 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26648 | BLUECHOICE HMO HDHP/HSA/HRA SILVER PLAN - $3,000 | HMO | 100032196 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Bronze | 26649 | BLUECHOICE PLUS HDHP/HSA/HRA BRONZE PLAN - $6,000 | POS | 100032226 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Gold | 26650 | BLUEPREFERRED PPO 90/70 GOLD PLAN - $1,000 (can be HRA) | PPO | 100032155 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26651 | BLUECHOICE ADVANTAGE SILVER PLAN - $5,000 (can be HRA) | POS | 100032177 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26652 | BLUECHOICE ADVANTAGE HDHP/HSA/HRA 70 SILVER PLAN - $2,000 | POS | 100032183 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Gold | 26653 | BLUECHOICE HMO HDHP GOLD PLAN - $3,000 | HMO | 100032204 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Bronze | 26654 | BLUECHOICE HMO HDHP/HSA/HRA 90 BRONZE PLAN - $6,000 | HMO | 100032207 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26655 | BLUECHOICE HMO HDHP/HSA/HRA 70 SILVER PLAN - $2,000 | HMO | 100032209 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Gold | 26656 | BLUECHOICE HMO REFERRAL GOLD PLAN | HMO | 100032216 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26657 | BLUECHOICE HMO REFERRAL SILVER PLAN - $4,000 (can be HRA) | HMO | 100032217 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Bronze | 26658 | BLUECHOICE HMO REFERRAL BRONZE PLAN - $8,150 (can be HRA) | HMO | 100032218 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| DC | M | Silver | 26659 | BLUECHOICE PLUS HDHP/HSA/HRA SILVER PLAN - $2,500 | POS | 100032228 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Bronze | 26700 | BlueChoice Advantage HRA/HSA Bronze Plan - $6,000 | POS | 100032284 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26701 | BlueChoice Advantage HRA/HSA 90 Gold Plan - $1,500 | POS | 100032361 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26702 | BlueChoice Advantage HRA/HSA Gold Plan - $1,500 | POS | 100032317 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26703 | BlueChoice Advantage HRA/HSA Silver Plan - $1,500 | POS | 100032301 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26704 | BlueChoice Advantage HRA/HSA 70 Silver Plan - $2,000 | POS | 100032396 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26705 | BlueChoice Advantage HRA/HSA Silver Plan - $2,000 | POS | 100032391 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26706 | BlueChoice Advantage HRA/HSA Silver Plan - $2,500 | POS | 100032323 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26707 | BlueChoice Advantage HRA/HSA 70 Silver Plan - $3,000 | POS | 100032375 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26708 | BlueChoice Advantage HRA/HSA Silver Plan - $3,000 | POS | 100032292 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Bronze | 26709 | BlueChoice Advantage Bronze Plan - $6,500 (can be HRA) | POS | 100032336 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26710 | BlueChoice Advantage Gold Plan - $1,000 (can be HRA) | POS | 100032355 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26711 | BlueChoice Advantage Gold Plan - $3,000 (can be HRA) | POS | 100032350 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26712 | BlueChoice Advantage Silver Plan - $4,000 (can be HRA) | POS | 100032346 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26713 | BlueChoice Advantage Silver Plan - $5,000 (can be HRA) | POS | 100032339 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26714 | BlueChoice Advantage Gold Plan - $500 | POS | 100032372 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Platinum | 26715 | BlueChoice Advantage Platinum Plan | POS | 100032373 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Bronze | 26716 | BlueChoice HMO Referral HRA/HSA Bronze Plan - $5,500 | HMO | 100032412 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Bronze | 26717 | BlueChoice HMO Referral Bronze Plan - $8,150 (can be HRA) | HMO | 100032484 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Bronze | 26718 | BlueChoice HMO Referral HRA/HSA Bronze Plan - $5,500 | HMO | 100032407 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Bronze | 26719 | BlueChoice HMO Referral Bronze Plan - $6,500 (can be HRA) | HMO | 100032418 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26720 | BlueChoice HMO Referral Silver Plan - $4,000 (can be HRA) | HMO | 100032415 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26721 | BlueChoice HMO Gold Plan - $500 | HMO | 100032419 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Platinum | 26722 | BlueChoice HMO Platinum Plan | HMO | 100032420 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Bronze | 26723 | BlueChoice HMO HRA/HSA Bronze Plan - $6,000 | HMO | 100032425 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Bronze | 26724 | BlueChoice HMO HRA/HSA 90 Bronze Plan - $6,000 | HMO | 100032428 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26725 | BlueChoice HMO Gold Plan - $1,000 (can be HRA) | HMO | 100032469 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26726 | BlueChoice HMO HRA/HSA 90 Gold Plan - $1,500 | HMO | 100032464 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26727 | BlueChoice HMO HRA/HSA Gold Plan - $1,500 | HMO | 100032459 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26728 | BlueChoice HMO HRA/HSA Silver Plan - $1,500 | HMO | 100032477 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26729 | BlueChoice HMO HRA/HSA 70 Silver Plan - $2,000 | HMO | 100032450 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26730 | BlueChoice HMO HRA/HSA Silver Plan - $2,000 | HMO | 100032442 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26731 | BlueChoice HMO HRA/HSA Silver Plan - $2,300 | HMO | 100032451 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26732 | BlueChoice HMO HRA/HSA Silver Plan - $2,500 | HMO | 100032475 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26733 | BlueChoice HMO HRA/HSA 70 Silver Plan - $3,000 | HMO | 100032440 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26734 | BlueChoice HMO HRA/HSA Silver Plan - $3,000 | HMO | 100032434 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26735 | BlueChoice HMO Gold Plan - $1,000 | HMO | 100032470 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26736 | BlueChoice HMO HRA/HSA Silver Plan - $2,300 | HMO | 100032456 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26737 | BlueChoice HMO Referral Gold Plan | HMO | 100032481 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26738 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 100032482 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Platinum | 26739 | BlueChoice HMO Referral Platinum Plan | HMO | 100032483 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26740 | BlueChoice HMO Gold Plan - $1,500 (can be HRA) | HMO | 100032494 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26741 | BlueChoice HMO Gold Plan - $3,000 (can be HRA) | HMO | 100032491 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26742 | BlueChoice HMO Silver Plan - $1,500 (can be HRA) | HMO | 100032487 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26743 | BlueChoice HMO Silver Plan - $5,000 (can be HRA) | HMO | 100032497 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Bronze | 26744 | BluePreferred PPO HRA/HSA Bronze Plan - $5,500 | PPO | 100032598 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26745 | BluePreferred PPO 90 Gold Plan - $1,000 (can be HRA) | PPO | 100032623 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26746 | BluePreferred PPO HRA/HSA Silver Plan - $1,500 | PPO | 100032560 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26747 | BluePreferred PPO HRA/HSA 70 Silver Plan - $2,000 | PPO | 100032575 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26748 | BluePreferred PPO HRA/HSA Silver Plan - $2,000 | PPO | 100032613 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26749 | BluePreferred PPO HRA/HSA Silver Plan - $2,300 | PPO | 100032607 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Bronze | 26750 | BluePreferred PPO HRA/HSA Bronze Plan - $5,500 | PPO | 100032593 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26751 | BluePreferred PPO 90 Gold Plan - $1,000 | PPO | 100032577 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26752 | BluePreferred PPO HRA/HSA Silver Plan - $2,300 | PPO | 100032604 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26753 | BluePreferred PPO Gold Plan - $1,000 (can be HRA) | PPO | 100032629 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26754 | BluePreferred PPO Gold Plan - $1,500 (can be HRA) | PPO | 100032589 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26755 | BluePreferred PPO Silver Plan - $1,500 (can be HRA) | PPO | 100032626 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26756 | BluePreferred PPO Gold Plan - $500 | PPO | 100032590 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Platinum | 26757 | BluePreferred PPO Platinum Plan | PPO | 100032634 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Platinum | 26758 | BluePreferred PPO Platinum Plan- $500 | PPO | 100032592 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Platinum | 26759 | BlueChoice Plus Opt-Out Platinum Plan | POS | 100032499 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Bronze | 26760 | BlueChoice Plus HRA/HSA Bronze Plan - $6,000 | POS | 100032509 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26761 | BlueChoice Plus HRA/HSA Silver Plan - $1,500 | POS | 100032527 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26762 | BlueChoice Plus HRA/HSA Silver Plan - $2,500 | POS | 100032539 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Silver | 26763 | BlueChoice Plus HRA/HSA Silver Plan - $3,000 | POS | 100032510 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26764 | BlueChoice Plus Gold Plan - $1,000 (can be HRA) | POS | 100032541 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Gold | 26765 | BlueChoice Plus Gold Plan - $500 | POS | 100032547 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Platinum | 26766 | HealthyBlue Plus Platinum Plan- $500 | POS | 100032548 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| MD | M | Platinum | 26767 | HealthyBlue Advantage Platinum Plan - $500 | POS | 100032405 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Bronze | 26800 | BlueChoice Advantage HRA/HSA Bronze Plan - $6,000 | POS | 100032722 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26801 | BlueChoice Advantage HRA/HSA 90 Gold Plan - $1,500 | POS | 100032762 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26802 | BlueChoice Advantage HRA/HSA Gold Plan - $1,500 | POS | 100032724 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26803 | BlueChoice Advantage HRA/HSA Silver Plan - $1,500 | POS | 100032730 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26804 | BlueChoice Advantage HRA/HSA 70 Silver Plan - $2,000 | POS | 100032750 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26805 | BlueChoice Advantage HRA/HSA Silver Plan - $2,000 | POS | 100032756 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26806 | BlueChoice Advantage HRA/HSA Silver Plan - $2,500 | POS | 100032738 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26807 | BlueChoice Advantage HRA/HSA 70 Silver Plan - $3,000 | POS | 100032748 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26808 | BlueChoice Advantage HRA/HSA Silver Plan - $3,000 | POS | 100032742 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Bronze | 26809 | BlueChoice Advantage Bronze Plan - $6,500 (can be HRA) | POS | 100032773 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26810 | BlueChoice Advantage Gold Plan - $1,000 (can be HRA) | POS | 100032771 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26811 | BlueChoice Advantage Gold Plan- $3000 (can be HRA) | POS | 100032768 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26812 | BlueChoice Advantage Silver Plan - $4,000 (can be HRA) | POS | 100032766 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26813 | BlueChoice Advantage Silver Plan- $5000 (can be HRA) | POS | 100032777 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26814 | BlueChoice Advantage Gold Plan - $500 | POS | 100032781 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Platinum | 26815 | BlueChoice Advantage 90 Platinum Plan | POS | 100032779 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Platinum | 26816 | BlueChoice Advantage Platinum Plan | POS | 100032780 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Platinum | 26817 | BlueChoice Advantage 90 Platinum Plan SE | POS | 100032782 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Platinum | 26818 | BlueChoice Advantage 90 Platinum Plan | POS | 100032783 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Bronze | 26819 | BlueChoice HMO Referral Bronze Plan - $8,150 (can be HRA) | HMO | 100032786 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Bronze | 26820 | BlueChoice HMO Referral Bronze Plan - $6,500 (can be HRA) | HMO | 100032792 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26821 | BlueChoice HMO Referral Silver Plan - $4,000 (can be HRA) | HMO | 100032789 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26822 | BlueChoice HMO Gold Plan - $500 | HMO | 100032794 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Platinum | 26823 | BlueChoice HMO Platinum Plan | HMO | 100032793 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Bronze | 26824 | BlueChoice HMO HRA/HSA Bronze Plan - $6,000 | HMO | 100032807 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Bronze | 26825 | BlueChoice HMO HRA/HSA 90 Bronze Plan - $6,000 | HMO | 100032802 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26826 | BlueChoice HMO Gold Plan - $1,000 (can be HRA) | HMO | 100032822 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26827 | BlueChoice HMO Gold Plan - $1,000 SE (can be HRA) | HMO | 100032817 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26828 | BlueChoice HMO HRA/HSA 90 Gold Plan - $1,500 | HMO | 100032857 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26829 | BlueChoice HMO HRA/HSA Gold Plan - $1,500 | HMO | 100032797 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26830 | BlueChoice HMO HRA/HSA Silver Plan - $1,500 | HMO | 100032848 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26831 | BlueChoice HMO HRA/HSA Silver Plan - $2,000 | HMO | 100032845 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26832 | BlueChoice HMO HRA/HSA 70 Silver Plan - $2,000 | HMO | 100032842 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26833 | BlueChoice HMO HRA/HSA Silver Plan - $2,300 | HMO | 100032860 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26834 | BlueChoice HMO HRA/HSA Silver Plan - $2,300 SE | HMO | 100032811 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26835 | BlueChoice HMO HRA/HSA Silver Plan - $2,500 | HMO | 100032835 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26836 | BlueChoice HMO HRA/HSA 70 Silver Plan - $3,000 | HMO | 100032823 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26837 | BlueChoice HMO HRA/HSA Silver Plan - $3,000 | HMO | 100032832 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26838 | BlueChoice HMO Gold Plan - $1,000 | HMO | 100032819 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26839 | BlueChoice HMO HRA/HSA Silver Plan - $2,300 | HMO | 100032815 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26840 | BlueChoice HMO Referral Gold Plan | HMO | 100032864 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26841 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 100032865 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Platinum | 26842 | BlueChoice HMO Referral Platinum Plan | HMO | 100032863 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26843 | BlueChoice HMO Gold Plan - $1,500 (can be HRA) | HMO | 100032876 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26844 | BlueChoice HMO Gold Plan- $3000 (can be HRA) | HMO | 100032874 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26845 | BlueChoice HMO Silver Plan - $1,500 (can be HRA) | HMO | 100032869 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26846 | BlueChoice HMO Silver Plan- $5000 (can be HRA) | HMO | 100032868 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26847 | BluePreferred PPO 90 Gold Plan - $1,000 (can be HRA) | PPO | 100032879 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26848 | BluePreferred PPO 90 Gold Plan - $1,000 SE (can be HRA) | PPO | 100032893 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26849 | BluePreferred PPO HRA/HSA Silver Plan - $1,500 | PPO | 100032909 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26850 | BluePreferred PPO HRA/HSA 70 Silver Plan - $2,000 | PPO | 100032896 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26851 | BluePreferred PPO HRA/HSA Silver Plan - $2,000 | PPO | 100032900 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26852 | BluePreferred PPO HRA/HSA Silver Plan - $2,300 | PPO | 100032888 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26853 | BluePreferred PPO HRA/HSA Silver Plan - $2,300 SE | PPO | 100032885 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26854 | BluePreferred PPO 90 Gold Plan - $1,000 | PPO | 100032910 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26855 | BluePreferred PPO HRA/HSA Silver Plan - $2,300 | PPO | 100032891 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26856 | BluePreferred PPO Gold Plan - $1,000 (can be HRA) | PPO | 100032915 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26857 | BluePreferred PPO Gold Plan - $1,500 (can be HRA) | PPO | 100032912 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26858 | BluePreferred PPO Silver Plan - $1,500 | PPO | 100032917 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26859 | BluePreferred PPO Gold Plan - $500 | PPO | 100032923 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Platinum | 26860 | BluePreferred PPO Platinum Plan | PPO | 100032919 | OFF-SHOP |
Benefits
| 1/1/2020 | 3/31/2020 | CAF | |
| VA | M | Platinum | 26861 | BluePreferred PPO Platinum Plan | PPO | 100032922 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Platinum | 26862 | BluePreferred PPO Platinum Plan - $500 | PPO | 100032921 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Platinum | 26863 | BluePreferred PPO Platinum 100/80 - SE | PPO | 100032918 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Platinum | 26864 | BluePreferred PPO Platinum 100/80 | PPO | 100032920 | ON-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Platinum | 26865 | BlueChoice Plus Opt-Out Platinum Plan | POS | 100032924 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Bronze | 26866 | BlueChoice Plus HRA/HSA Bronze Plan - $6,000 | POS | 100032943 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26867 | BlueChoice Plus HRA/HSA Silver Plan - $1,500 | POS | 100032939 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26868 | BlueChoice Plus HRA/HSA Silver Plan - $2,500 | POS | 100032934 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Silver | 26869 | BlueChoice Plus HRA/HSA Silver Plan - $3,000 | POS | 100032926 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26870 | BlueChoice Plus Gold Plan - $1,000 (can be HRA) | POS | 100032946 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Gold | 26871 | BlueChoice Plus Gold Plan - $500 | POS | 100032948 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Platinum | 26872 | HealthyBlue Plus Platinum Plan - $500 | POS | 100032949 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Platinum | 26873 | HealthyBlue Advantage Platinum Plan - $500 | POS | 100032950 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | CAF | |
| VA | M | Bronze | 27000 | BLUECHOICE ADVANTAGE POS BRONZE $6,000 (HRA) | POS | 100035423 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Bronze | 27001 | BLUECHOICE ADVANTAGE POS BRONZE $6,000 | POS | 100035634 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Bronze | 27002 | BLUECHOICE ADVANTAGE POS BRONZE $6,100 (HSA/HRA) | POS | 100035152 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27003 | BLUECHOICE ADVANTAGE POS 90 GOLD $1,500 (HSA/HRA) | POS | 100035587 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27004 | BLUECHOICE ADVANTAGE POS 90 GOLD $1,500 (HSA/HRA) | POS | 100035163 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27005 | BLUECHOICE ADVANTAGE POS GOLD $1,500 (HSA/HRA) | POS | 100035160 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27006 | BLUECHOICE ADVANTAGE POS SILVER $1,500 (HSA/HRA) | POS | 100035535 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27007 | BLUECHOICE ADVANTAGE POS SILVER $1,500 (HSA/HRA) | POS | 100035166 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27008 | BLUECHOICE ADVANTAGE POS SILVER $2,000 (HSA/HRA) | POS | 100035610 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27009 | BLUECHOICE ADVANTAGE POS SILVER $2,000 (HSA/HRA) | POS | 100035171 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27010 | BLUECHOICE ADVANTAGE POS 70 SILVER $2,100 (HSA/HRA) | POS | 100035176 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27011 | BLUECHOICE ADVANTAGE POS 70 SILVER $2,100 (HSA/HRA) | POS | 100035619 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27012 | BLUECHOICE ADVANTAGE POS 70 SILVER $3,000 (HSA/HRA) | POS | 100035187 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27013 | BLUECHOICE ADVANTAGE POS 70 SILVER $3,000 (HSA/HRA) | POS | 100035599 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27014 | BLUECHOICE ADVANTAGE POS SILVER $3,000 (HSA/HRA) | POS | 100035184 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27015 | BLUECHOICE ADVANTAGE POS SILVER $3,000 (HSA/HRA) | POS | 100035526 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Bronze | 27016 | BLUECHOICE ADVANTAGE POS BRONZE $6,100 (HSA/HRA) | POS | 100035510 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Bronze | 27017 | BLUECHOICE ADVANTAGE POS BRONZE $6,100 (HSA/HRA) | POS | 100035889 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Bronze | 27018 | BLUECHOICE ADVANTAGE POS BRONZE $6,000 (HSA/HRA) | POS | 100035907 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27019 | BLUECHOICE ADVANTAGE POS GOLD $1,500 (HSA/HRA) | POS | 100035544 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Gold | 27020 | BLUECHOICE ADVANTAGE POS 90 GOLD $1,500 (HSA/HRA) | POS | 100035901 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Gold | 27021 | BLUECHOICE ADVANTAGE POS GOLD $1,500 (HSA/HRA) | POS | 100035893 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27022 | BLUECHOICE ADVANTAGE POS SILVER $1,500 (HSA/HRA) | POS | 100035886 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27023 | BLUECHOICE ADVANTAGE POS SILVER $1,500 (HSA/HRA) | POS | 100035896 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27024 | BLUECHOICE ADVANTAGE POS SILVER $2,000 (HSA/HRA) | POS | 100035899 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27025 | BLUECHOICE ADVANTAGE POS 70 SILVER $2,100 (HSA/HRA) | POS | 100035903 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27026 | BLUECHOICE ADVANTAGE POS 70 SILVER $3,000 (HSA/HRA) | POS | 100035905 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27027 | BLUECHOICE ADVANTAGE POS SILVER $3,000 (HSA/HRA) | POS | 100035891 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27028 | BLUECHOICE ADVANTAGE POS GOLD $1,000 (Rx Ded $250) | POS | 100035195 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27029 | BLUECHOICE ADVANTAGE POS GOLD $1,000 (Rx Ded $250) | POS | 100035578 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27030 | BLUECHOICE ADVANTAGE POS GOLD $3,000 (Rx Ded $250) | POS | 100035199 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27031 | BLUECHOICE ADVANTAGE POS SILVER $4,000 (Rx Ded $400) | POS | 100035203 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27032 | BLUECHOICE ADVANTAGE POS SILVER $5,000 (Rx Ded $450) | POS | 100035557 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27033 | BLUECHOICE ADVANTAGE POS SILVER $5,000 (Rx Ded $450) | POS | 100035205 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27034 | BLUECHOICE ADVANTAGE POS GOLD $1,000 (Rx Ded $250) | POS | 100035576 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Gold | 27035 | BLUECHOICE ADVANTAGE POS GOLD $1,000 (Rx Ded $250) | POS | 100035883 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Gold | 27036 | BLUECHOICE ADVANTAGE POS GOLD $3,000 (Rx Ded $250) | POS | 100035898 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27037 | BLUECHOICE ADVANTAGE POS SILVER $4,000 (Rx Ded $400) | POS | 100035895 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27038 | BLUECHOICE ADVANTAGE POS SILVER $5,000 (Rx Ded $450) | POS | 100035897 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27039 | BLUECHOICE ADVANTAGE POS GOLD $0 (Rx Ded $0) | POS | 100035208 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27040 | BLUECHOICE ADVANTAGE POS GOLD $0 (Rx Ded $0) | POS | 100035630 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27041 | BLUECHOICE ADVANTAGE POS GOLD $500 (Rx Ded $250) | POS | 100035200 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27042 | BLUECHOICE ADVANTAGE POS GOLD $500 (Rx Ded $250) | POS | 100035593 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Platinum | 27043 | BLUECHOICE ADVANTAGE POS 90/70 PLATINUM $0 (Rx Ded $0) | POS | 100035192 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Platinum | 27044 | BLUECHOICE ADVANTAGE POS PLATINUM $0 (Rx Ded $0) | POS | 100035201 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Platinum | 27045 | BLUECHOICE ADVANTAGE POS 90/70 PLATINUM SE $0 (Rx Ded $0) | POS | 100035193 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Gold | 27046 | BLUECHOICE ADVANTAGE POS GOLD $0 (Rx Ded $0) | POS | 100035908 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Gold | 27047 | BLUECHOICE ADVANTAGE POS GOLD $500 (Rx Ded $250) | POS | 100035884 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Platinum | 27048 | BLUECHOICE ADVANTAGE POS 90/70 PLATINUM $0 (Rx Ded $0) | POS | 100035191 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Platinum | 27049 | BLUECHOICE ADVANTAGE POS PLATINUM $0 (Rx Ded $0) | POS | 100035885 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Bronze | 27050 | BLUECHOICE HMO REFERRAL BRONZE $6,200 (HSA/HRA) | HMO | 100035639 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Bronze | 27051 | BLUECHOICE HMO REFERRAL BRONZE $8,250 (HRA) | HMO | 100035284 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Bronze | 27052 | BLUECHOICE HMO REFERRAL BRONZE $8,250 (HRA) | HMO | 100035715 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Bronze | 27053 | BLUECHOICE HMO REFERRAL BRONZE $6,200 (HSA/HRA) | HMO | 100035637 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Bronze | 27054 | BLUECHOICE HMO REFERRAL BRONZE $8,250 | HMO | 100035713 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Bronze | 27055 | BLUECHOICE HMO REFERRAL BRONZE $8,250 (HSA/HRA) | HMO | 100035938 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27056 | BLUECHOICE HMO REFERRAL SILVER $4,000 (Rx Ded $400) | HMO | 100035288 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27057 | BLUECHOICE HMO REFERRAL SILVER $4,000 (Rx Ded $400) | HMO | 100035644 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27058 | BLUECHOICE HMO REFERRAL SILVER $4,000 (Rx Ded $400) | HMO | 100035937 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27059 | BLUECHOICE HMO GOLD $500 (Rx Ded $250) | HMO | 100035279 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27060 | BLUECHOICE HMO GOLD $500 (Rx Ded $250) | HMO | 100035646 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Platinum | 27061 | BLUECHOICE HMO PLATINUM $0 (Rx Ded $0) | HMO | 100035280 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Platinum | 27062 | BLUECHOICE HMO PLATINUM $0 (Rx Ded $0) | HMO | 100035647 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Gold | 27063 | BLUECHOICE HMO GOLD $500 (Rx Ded $250) | HMO | 100035910 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Platinum | 27064 | BLUECHOICE HMO PLATINUM $0 (Rx Ded $0) | HMO | 100035911 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Bronze | 27065 | BLUECHOICE HMO BRONZE $6,000 (HRA) | HMO | 100035425 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Bronze | 27066 | BLUECHOICE HMO BRONZE $6,000 (HRA) | HMO | 100035707 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Bronze | 27067 | BLUECHOICE HMO BRONZE $6,100 (HSA/HRA) | HMO | 100035232 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Bronze | 27068 | BLUECHOICE HMO BRONZE $6,100 (HSA/HRA) | HMO | 100035652 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Bronze | 27069 | BLUECHOICE HMO 90 BRONZE $6,500 (HSA/HRA) | HMO | 100035234 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Bronze | 27070 | BLUECHOICE HMO 90 BRONZE $6,500 (HSA/HRA) | HMO | 100035654 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27071 | BLUECHOICE HMO GOLD $1,000 (HRA) | HMO | 100035218 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27072 | BLUECHOICE HMO GOLD $1,000 (HRA) | HMO | 100035696 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27073 | BLUECHOICE HMO GOLD $1,000 SE | HMO | 100035220 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27074 | BLUECHOICE HMO 90 GOLD $1,500 (HSA/HRA) | HMO | 100035245 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27075 | BLUECHOICE HMO 90 GOLD $1,500 (HSA/HRA) | HMO | 100035693 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27076 | BLUECHOICE HMO GOLD $1,500 (HSA/HRA) | HMO | 100035238 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27077 | BLUECHOICE HMO GOLD $1,500 (HSA/HRA) | HMO | 100035689 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27078 | BLUECHOICE HMO SILVER $1,500 (HSA/HRA) | HMO | 100035252 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27079 | BLUECHOICE HMO SILVER $1,500 (HSA/HRA) | HMO | 100035701 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27080 | BLUECHOICE HMO SILVER $2,000 (HSA/HRA) | HMO | 100035257 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27081 | BLUECHOICE HMO SILVER $2,000 (HSA/HRA) | HMO | 100035674 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27082 | BLUECHOICE HMO 70 SILVER $2,100 (HSA/HRA) | HMO | 100035260 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27083 | BLUECHOICE HMO 70 SILVER $2,100 (HSA/HRA) | HMO | 100035675 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27084 | BLUECHOICE HMO SILVER $2,400 (HSA/HRA) | HMO | 100035214 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27085 | BLUECHOICE HMO SILVER $2,400 (HSA/HRA) | HMO | 100035681 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27086 | BLUECHOICE HMO SILVER $2,400 SE (HSA/HRA) | HMO | 100035225 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27087 | BLUECHOICE HMO 70 SILVER $3,000 (HSA/HRA) | HMO | 100035268 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27088 | BLUECHOICE HMO 70 SILVER $3,000 (HSA/HRA) | HMO | 100035668 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27089 | BLUECHOICE HMO SILVER $3,000 (HSA/HRA) | HMO | 100035265 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27090 | BLUECHOICE HMO SILVER $3,000 (HSA/HRA) | HMO | 100035662 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Bronze | 27091 | BLUECHOICE HMO BRONZE $6,000 | HMO | 100035709 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Bronze | 27092 | BLUECHOICE HMO BRONZE $6,000 (HSA/HRA) | HMO | 100035933 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Bronze | 27093 | BLUECHOICE HMO BRONZE $6,100 (HSA/HRA) | HMO | 100035648 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Bronze | 27094 | BLUECHOICE HMO BRONZE $6,100 (HSA/HRA) | HMO | 100035916 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Bronze | 27095 | BLUECHOICE HMO 90 BRONZE $6,500 (HSA/HRA) | HMO | 100035927 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27096 | BLUECHOICE HMO GOLD $1,000 | HMO | 100035216 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27097 | BLUECHOICE HMO GOLD $1,000 | HMO | 100035699 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Gold | 27098 | BLUECHOICE HMO 90 GOLD $1,500 (HSA/HRA) | HMO | 100035925 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Gold | 27099 | BLUECHOICE HMO GOLD $1,500 (HSA/HRA) | HMO | 100035921 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27100 | BLUECHOICE HMO SILVER $1,500 (HSA/HRA) | HMO | 100035700 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27101 | BLUECHOICE HMO SILVER $1,500 (HSA/HRA) | HMO | 100035912 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27102 | BLUECHOICE HMO SILVER $2,000 (HSA/HRA) | HMO | 100035914 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27103 | BLUECHOICE HMO 70 SILVER $2,100 (HSA/HRA) | HMO | 100035929 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27104 | BLUECHOICE HMO SILVER $2,400 (HSA/HRA) | HMO | 100035210 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27105 | BLUECHOICE HMO SILVER $2,400 (HSA/HRA) | HMO | 100035685 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27106 | BLUECHOICE HMO SILVER $3,000 (HSA/HRA) | HMO | 100035659 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27107 | BLUECHOICE HMO 70 SILVER $3,000 (HSA/HRA) | HMO | 100035931 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27108 | BLUECHOICE HMO SILVER $3,000 (HSA/HRA) | HMO | 100035918 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27109 | BLUECHOICE HMO REFERRAL GOLD $0 (Rx Ded $0) | HMO | 100035289 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27110 | BLUECHOICE HMO REFERRAL GOLD $0 (Rx Ded $0) | HMO | 100035710 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27111 | BLUECHOICE HMO REFERRAL GOLD $500 (Rx Ded $250) | HMO | 100035285 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27112 | BLUECHOICE HMO REFERRAL GOLD $500 (Rx Ded $250) | HMO | 100035711 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Platinum | 27113 | BLUECHOICE HMO REFERRAL PLATINUM $0 (Rx Ded $0) | HMO | 100035290 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Platinum | 27114 | BLUECHOICE HMO REFERRAL PLATINUM $0 (Rx Ded $0) | HMO | 100035712 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Gold | 27115 | BLUECHOICE HMO REFERRAL GOLD $0 (Rx Ded $0) | HMO | 100035936 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Gold | 27116 | BLUECHOICE HMO REFERRAL GOLD $500 (Rx Ded $250) | HMO | 100035935 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Platinum | 27117 | BLUECHOICE HMO REFERRAL PLATINUM $0 (Rx Ded $0) | HMO | 100035934 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27118 | BLUECHOICE HMO GOLD $1,500 (Rx Ded $250) | HMO | 100035274 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27119 | BLUECHOICE HMO GOLD $1,500 (Rx Ded $250) | HMO | 100035724 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27120 | BLUECHOICE HMO GOLD $3,000 (Rx Ded $250) | HMO | 100035721 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27121 | BLUECHOICE HMO GOLD $3,000 (Rx Ded $250) | HMO | 100035276 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27122 | BLUECHOICE HMO SILVER $5,000 (Rx Ded $450) | HMO | 100035729 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27123 | BLUECHOICE HMO SILVER $1,500 (Rx Ded $250) | HMO | 100035291 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27124 | BLUECHOICE HMO SILVER $1,500 (Rx Ded $250) | HMO | 100035718 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27125 | BLUECHOICE HMO SILVER $5,000 (Rx Ded $450) | HMO | 100035295 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27126 | BLUECHOICE HMO GOLD $1,500 (Rx Ded $250) | HMO | 100035723 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Gold | 27127 | BLUECHOICE HMO GOLD $1,500 (Rx Ded $250) | HMO | 100035909 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Gold | 27128 | BLUECHOICE HMO GOLD $3,000 (Rx Ded $250) | HMO | 100035924 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27129 | BLUECHOICE HMO SILVER $5,000 (Rx Ded $450) | HMO | 100035727 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27130 | BLUECHOICE HMO SILVER $1,500 (Rx Ded $250) | HMO | 100035920 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27131 | BLUECHOICE HMO SILVER $5,000 (Rx Ded $450) | HMO | 100035923 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Bronze | 27132 | BLUEPREFERRED PPO BRONZE $6,200 (HSA/HRA) | PPO | 100035787 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27133 | BLUEPREFERRED PPO 90/70 GOLD $1,000 (HRA) | PPO | 100035323 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27134 | BLUEPREFERRED PPO 90/70 GOLD $1,000 SE (HRA) | PPO | 100035327 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27135 | BLUEPREFERRED PPO SILVER $1,500 (HSA/HRA) | PPO | 100035346 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27136 | BLUEPREFERRED PPO SILVER $1,500 (HSA/HRA) | PPO | 100035789 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27137 | BLUEPREFERRED PPO SILVER $2,000 (HSA/HRA) | PPO | 100035347 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27138 | BLUEPREFERRED PPO 70 SILVER $2,100 (HSA/HRA) | PPO | 100035353 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27139 | BLUEPREFERRED PPO 70 SILVER $2,100 (HSA/HRA) | PPO | 100035804 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27140 | BLUEPREFERRED PPO 80/60 SILVER $2,400 (HSA/HRA) | PPO | 100035331 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27141 | BLUEPREFERRED PPO 80/60 SILVER $2,400 (HSA/HRA) | PPO | 100035795 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27142 | BLUEPREFERRED PPO 80/60 SILVER $2,400 SE (HSA/HRA) | PPO | 100035336 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27143 | BLUEPREFERRED PPO 90/70 GOLD $1,000 | PPO | 100035321 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Gold | 27144 | BLUEPREFERRED PPO 90/70 GOLD $1,000 (HRA) | PPO | 100035878 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27145 | BLUEPREFERRED PPO SILVER $1,500 (HSA/HRA) | PPO | 100035880 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27146 | BLUEPREFERRED PPO SILVER $1,500 (HSA/HRA) | PPO | 100035870 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27147 | BLUEPREFERRED PPO SILVER $2,000 (HSA/HRA) | PPO | 100035872 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27148 | BLUEPREFERRED PPO 70 SILVER $2,100 (HSA/HRA) | PPO | 100035881 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27149 | BLUEPREFERRED PPO 80/60 SILVER $2,400 (HSA/HRA) | PPO | 100035328 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27150 | BLUEPREFERRED PPO 80/60 SILVER $2,400 (HSA/HRA) | PPO | 100035879 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27151 | BLUEPREFERRED PPO GOLD $1,000 (Rx Ded $250) | PPO | 100035357 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27152 | BLUEPREFERRED PPO GOLD $1,500 (Rx Ded $250) | PPO | 100035361 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27153 | BLUEPREFERRED PPO GOLD $1,500 (Rx Ded $250) | PPO | 100035821 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27154 | BLUEPREFERRED PPO SILVER $1,500 (Rx Ded $250) | PPO | 100035366 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27155 | BLUEPREFERRED PPO SILVER $1,500 (Rx Ded $250) | PPO | 100035815 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Gold | 27156 | BLUEPREFERRED PPO GOLD $1,000 (Rx Ded $250) | PPO | 100035868 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Gold | 27157 | BLUEPREFERRED PPO GOLD $1,500 (Rx Ded $250) | PPO | 100035877 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27158 | BLUEPREFERRED PPO SILVER $1,500 (Rx Ded $250) | PPO | 100035876 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27159 | BLUEPREFERRED PPO GOLD $500 (Rx Ded $250) | PPO | 100035363 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27160 | BLUEPREFERRED PPO GOLD $500 (Rx Ded $250) | PPO | 100035822 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Platinum | 27161 | BLUEPREFERRED PPO 100/80 PLATINUM $0 (Rx Ded $0) | PPO | 100035340 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Platinum | 27162 | BLUEPREFERRED PPO PLATINUM $0 (Rx Ded $0) | PPO | 100035364 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Platinum | 27163 | BLUEPREFERRED PPO PLATINUM $500 (Rx Ded $0) | PPO | 100035365 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Platinum | 27164 | BLUEPREFERRED PPO 100/80 PLATINUM SE $0 (Rx Ded $0) | PPO | 100035341 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Gold | 27165 | BLUEPREFERRED PPO GOLD $500 (Rx Ded $250) | PPO | 100035869 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Platinum | 27166 | BLUEPREFERRED PPO 100/80 PLATINUM $0 (Rx Ded $0) | PPO | 100035339 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Platinum | 27167 | BLUEPREFERRED PPO PLATINUM $0 (Rx Ded $0) | PPO | 100035874 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Platinum | 27168 | BLUEPREFERRED PPO PLATINUM $500 (Rx Ded $0) | PPO | 100035875 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Platinum | 27169 | BLUECHOICE PLUS POS OPTOUT PLATINUM $0 (Rx Ded $0) | POS | 100035320 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Platinum | 27170 | BLUECHOICE PLUS POS OPTOUT PLATINUM $0 (Rx Ded $0) | POS | 100035731 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Platinum | 27171 | BLUECHOICE PLUS POS OPTOUT PLATINUM $0 (Rx Ded $0) | POS | 100035950 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Bronze | 27172 | BLUECHOICE PLUS POS BRONZE $6,100 (HSA/HRA) | POS | 100035297 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Bronze | 27173 | BLUECHOICE PLUS POS BRONZE $6,100 (HSA/HRA) | POS | 100035732 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27174 | BLUECHOICE PLUS POS SILVER $1,500 (HSA/HRA) | POS | 100035303 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27175 | BLUECHOICE PLUS POS SILVER $2,500 (HSA/HRA) | POS | 100035309 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Silver | 27176 | BLUECHOICE PLUS POS SILVER $3,000 (HSA/HRA) | POS | 100035312 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Bronze | 27177 | BLUECHOICE PLUS POS BRONZE $6,100 (HSA/HRA) | POS | 100035946 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27178 | BLUECHOICE PLUS POS SILVER $3,000 (HSA/HRA) | POS | 100035941 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27179 | BLUECHOICE PLUS POS SILVER $1,500 (HSA/HRA) | POS | 100035939 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Silver | 27180 | BLUECHOICE PLUS POS SILVER $2,500 (HSA/HRA) | POS | 100035948 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27181 | BLUECHOICE PLUS POS GOLD $1,000 (Rx Ded $250) | POS | 100035319 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27182 | BLUECHOICE PLUS POS GOLD $1,000 (Rx Ded $250) | POS | 100035774 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Gold | 27183 | BLUECHOICE PLUS POS GOLD $1,000 (Rx Ded $250) | POS | 100035944 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 27184 | BLUECHOICE PLUS POS GOLD $500 (Rx Ded $250) | POS | 100035369 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Gold | 27185 | BLUECHOICE PLUS POS GOLD $500 (Rx Ded $250) | POS | 100035945 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Platinum | 27186 | HEALTHYBLUE PLUS POS PLATINUM $500 (Rx Ded $0) | POS | 100035368 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Platinum | 27187 | HEALTHYBLUE PLUS POS PLATINUM $500 (Rx Ded $0) | POS | 100035943 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Platinum | 27188 | HEALTHYBLUE ADVANTAGE POS PLATINUM $500 (Rx Ded $0) | POS | 100035367 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| DC | M | Platinum | 27189 | HEALTHYBLUE ADVANTAGE POS PLATINUM $500 (Rx Ded $0) | POS | 100035888 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Platinum | 27190 | BLUECHOICE ADVANTAGE POS PLATINUM $0 (Rx Ded $0) | POS | 100035596 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27191 | BLUECHOICE ADVANTAGE POS SILVER $3,000 (HSA/HRA) | POS | 100035521 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27192 | BLUECHOICE ADVANTAGE POS SILVER $5,000 (Rx Ded $450) | POS | 100035555 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Bronze | 27193 | BLUECHOICE ADVANTAGE POS BRONZE $6,100 (HSA/HRA) | POS | 100035519 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27194 | BLUECHOICE ADVANTAGE POS GOLD $3,000 (Rx Ded $250) | POS | 100035573 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27195 | BLUECHOICE ADVANTAGE POS SILVER $4,000 (Rx Ded $400) | POS | 100035567 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27196 | BLUECHOICE ADVANTAGE POS GOLD $1,500 (HSA/HRA) | POS | 100035551 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27197 | BLUECHOICE PLUS POS GOLD $500 (Rx Ded $250) | POS | 100035778 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27198 | BLUECHOICE PLUS POS SILVER $2,500 (HSA/HRA) | POS | 100035770 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27199 | BLUECHOICE PLUS POS SILVER $3,000 (HSA/HRA) | POS | 100035747 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27200 | BLUECHOICE PLUS POS SILVER $1,500 (HSA/HRA) | POS | 100035759 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27201 | BLUEPREFERRED PPO GOLD $1,000 (Rx Ded $250) | PPO | 100035860 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Platinum | 27202 | BLUEPREFERRED PPO PLATINUM $0 (Rx Ded $0) | PPO | 100035866 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Platinum | 27203 | BLUEPREFERRED PPO PLATINUM $500 (Rx Ded $0) | PPO | 100035867 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27204 | BLUEPREFERRED PPO 90/70 GOLD $1,000 | PPO | 100035852 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27205 | BLUEPREFERRED PPO SILVER $2,000 (HSA/HRA) | PPO | 100035845 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Gold | 27206 | BLUEPREFERRED PPO 90/70 GOLD $1,000 (HRA) | PPO | 100035853 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Bronze | 27207 | BLUEPREFERRED PPO BRONZE $6,200 (HSA/HRA) | PPO | 100035825 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Silver | 27208 | BLUEPREFERRED PPO 80/60 SILVER $2,400 (HSA/HRA) | PPO | 100035836 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Platinum | 27209 | HEALTHYBLUE ADVANTAGE POS PLATINUM $500 (Rx Ded $0) | POS | 100035628 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| MD | M | Platinum | 27210 | HEALTHYBLUE PLUS POS PLATINUM $500 (Rx Ded $0) | POS | 100035781 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | CAF | |
| VA | M | Gold | 28001 | Anthem Gold PPO 750/20%/5500 | PPO | 3H8H | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28003 | Anthem HealthKeepers Gold OAPOS 750/20%/5500 | POS | 3H8K | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Silver | 28005 | Anthem Silver PPO 4000/20%/6850 | PPO | 3H8M | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Silver | 28007 | Anthem HealthKeepers Silver OAPOS 4000/20%/6850 | POS | 3H8P | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Silver | 28009 | Anthem HealthKeepers Silver OAPOS 2000/50%/7500 | POS | 3H8R | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Silver | 28011 | Anthem Silver PPO 2000/50%/7500 | PPO | 3H8T | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28013 | Anthem HealthKeepers Gold OAPOS 1500/20%/4000 | POS | 3H8V | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28015 | Anthem Gold PPO 1500/20%/4000 | PPO | 3H8X | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28017 | Anthem Gold PPO 1500/30%/4250 | PPO | 3H8Z | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28019 | Anthem HealthKeepers Gold OAPOS 1500/30%/4250 | POS | 3H91 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28021 | Anthem HealthKeepers Gold OAPOS 2000/20%/3500 | POS | 3H93 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28023 | Anthem Gold PPO 2000/20%/3500 | PPO | 3H95 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Platinum | 28025 | Anthem Platinum OAEPO 250/10%/3100 | PPO | 3H97 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28027 | Anthem Gold OAEPO 1500/20%/5500 | PPO | 3H99 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Bronze | 28029 | Anthem Bronze OAEPO 7000/40%/7500 | PPO | 3H9B | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Bronze | 28031 | Anthem HealthKeepers Bronze OAPOS 5900/0%/6850 Plus | POS | 3H9D | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Silver | 28033 | Anthem HealthKeepers Silver OAPOS 2500/30%/5000 Plus | POS | 3H9F | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28035 | Anthem Gold PPO 30/30%/5500 | PPO | 3H9H | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28037 | Anthem HealthKeepers Gold OAPOS 30/30%/5500 | POS | 3H9K | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28039 | Anthem HealthKeepers Gold OAPOS 20/0%/4500 | POS | 3H9M | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28041 | Anthem Gold PPO 20/0%/4500 | PPO | 3H9P | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28043 | Anthem Gold PPO 1000/20%/5000 | PPO | 3H9R | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28045 | Anthem HealthKeepers Gold OAPOS 1000/20%/5000 | POS | 3H9T | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28047 | Anthem Gold PPO 2000/0%/3000 | PPO | 3H9V | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28049 | Anthem HealthKeepers Gold OAPOS 2000/0%/3000 | POS | 3H9X | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Silver | 28051 | Anthem Silver PPO 2700/20%/5000 w/HSA | PPO | 3H9Z | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Silver | 28053 | Anthem HealthKeepers Silver OAPOS 2700/20%/5000 w/HSA | POS | 3HA1 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Silver | 28055 | Anthem HealthKeepers Silver OAPOS 1550/35%/6000 Plus | POS | 3HA3 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Silver | 28057 | Anthem HealthKeepers Silver OAPOS 4000/0%/5000 w/HSA | POS | 3HA5 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Silver | 28059 | Anthem Silver PPO 4000/0%/5000 w/HSA | PPO | 3HA7 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Silver | 28061 | Anthem Silver PPO 3500/0%/6700 w/HSA | PPO | 3HA9 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Silver | 28063 | Anthem HealthKeepers Silver OAPOS 3500/0%/6700 w/HSA | POS | 3HAB | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28065 | Anthem HealthKeepers Gold OAPOS 750/20%/4000 | POS | 3HAD | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28067 | Anthem Gold PPO 750/20%/4000 | PPO | 3HAF | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28069 | Anthem Gold PPO 25/20%/4500 | PPO | 3HAH | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28071 | Anthem HealthKeepers Gold OAPOS 25/20%/4500 | POS | 3HAK | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Bronze | 28073 | Anthem HealthKeepers Bronze OAPOS 6550/0%/6550 w/HSA | POS | 3HAM | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Bronze | 28075 | Anthem Bronze PPO 6550/0%/6550 w/HSA | PPO | 3HAP | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Silver | 28077 | Anthem HealthKeepers Silver Pathway OAPOS 3000/20%/6500 w/HSA | POS | 3HAR | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28079 | Anthem HealthKeepers Gold Pathway OAPOS 500/20%/6000 | POS | 3HAT | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28081 | Anthem HealthKeepers Gold Pathway OAPOS 2000/20%/5000 | POS | 3HAV | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Gold | 28083 | Anthem HealthKeepers Gold Pathway OAPOS 20/0%/4500 | POS | 3HAX | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Bronze | 28085 | Anthem HealthKeepers Bronze Pathway OAPOS 5000/30%/6550 w/HSA | POS | 3HAZ | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Platinum | 28087 | Anthem HealthKeepers Platinum OAPOS 10/0%/3000 | POS | 3HB1 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Platinum | 28089 | Anthem Platinum PPO 10/0%/3000 | PPO | 3HB3 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Platinum | 28091 | Anthem HealthKeepers Platinum OAPOS 15/0%/2500 | POS | 3HB5 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Platinum | 28093 | Anthem HealthKeepers Platinum OAPOS 250/10%/3500 | POS | 3HB7 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Platinum | 28095 | Anthem HealthKeepers Platinum OAPOS 500/10%/4000 | POS | 3HB9 | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Platinum | 28097 | Anthem HealthKeepers Platinum OAPOS 750/20%/2000 | POS | 3HBB | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Platinum | 28099 | Anthem Platinum PPO 15/0%/2500 | PPO | 3HBD | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Platinum | 28101 | Anthem Platinum PPO 250/10%/3500 | PPO | 3HBF | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Platinum | 28103 | Anthem Platinum PPO 500/10%/4000 | PPO | 3HBH | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Platinum | 28105 | Anthem Platinum PPO 750/20%/2000 | PPO | 3HBK | OFF-SHOP |
Benefits
| 1/1/2019 | 12/31/2019 | ANT | |
| VA | M | Platinum | 28500 | Anthem HealthKeepers Platinum OAPOS 250/10%/4000 | POS | 4AAU | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Platinum | 28501 | Anthem Platinum PPO 250/10%/4000 | PPO | 4AAW | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Platinum | 28502 | Anthem HealthKeepers Platinum OAPOS 500/10%/4500 | POS | 4AAY | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Platinum | 28503 | Anthem Platinum PPO 500/10%/4500 | PPO | 4AB0 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Platinum | 28504 | Anthem HealthKeepers Platinum OAPOS 750/20%/2500 | POS | 4AB2 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Platinum | 28505 | Anthem Platinum PPO 750/20%/2500 | PPO | 4AB4 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Platinum | 28506 | Anthem Platinum OAEPO 500/10%/3500 | EPO | 4AB6 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28507 | Anthem Gold OAEPO 2000/20%/7000 | EPO | 4AB8 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Bronze | 28508 | Anthem Bronze OAEPO 7150/40%/8150 | EPO | 4ABA | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28509 | Anthem Gold PPO 750/20%/6500 | PPO | 4ABC | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28510 | Anthem HealthKeepers Gold OAPOS 750/20%/6500 | POS | 4ABE | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Silver | 28511 | Anthem Silver PPO 4000/20%/7350 | PPO | 4ABG | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Silver | 28512 | Anthem HealthKeepers Silver OAPOS 4000/20%/7350 | POS | 4ABJ | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Silver | 28513 | Anthem HealthKeepers Silver OAPOS 2000/50%/8150 | POS | 4ABL | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Silver | 28514 | Anthem Silver PPO 2000/50%/8150 | PPO | 4ABN | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28515 | Anthem HealthKeepers Gold OAPOS 1500/20%/4500 | POS | 4ABQ | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28516 | Anthem Gold PPO 1500/20%/4500 | PPO | 4ABS | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28517 | Anthem Gold PPO 1500/30%/4750 | PPO | 4ABU | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28518 | Anthem HealthKeepers Gold OAPOS 1500/30%/4750 | POS | 4ABW | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28519 | Anthem HealthKeepers Gold OAPOS 2000/20%/4000 | POS | 4ABY | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28520 | Anthem Gold PPO 2000/20%/4000 | PPO | 4AC0 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Silver | 28521 | Anthem HealthKeepers Silver Pathway OAPOS 3000/20%/6850 w/HSA | POS | 4AC2 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28522 | Anthem HealthKeepers Gold Pathway OAPOS 1000/20%/6500 | POS | 4AC4 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28523 | Anthem HealthKeepers Gold Pathway OAPOS 2000/20%/5500 | POS | 4AC6 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28524 | Anthem HealthKeepers Gold Pathway OAPOS 20/0%/5500 | POS | 4AC8 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Bronze | 28525 | Anthem HealthKeepers Bronze Pathway OAPOS 5500/30%/6850 w/HSA | POS | 4ACA | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Platinum | 28526 | Anthem HealthKeepers Platinum OAPOS 10/0%/3500 | POS | 4ACC | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Platinum | 28527 | Anthem Platinum PPO 10/0%/3500 | PPO | 4ACE | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Platinum | 28528 | Anthem HealthKeepers Platinum OAPOS 15/0%/3000 | POS | 4ACG | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Platinum | 28529 | Anthem Platinum PPO 15/0%/3000 | PPO | 4ACJ | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28530 | Anthem Gold PPO 25/20%/5000 | PPO | 4ACL | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28531 | Anthem HealthKeepers Gold OAPOS 25/20%/5000 | POS | 4ACN | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Bronze | 28532 | Anthem HealthKeepers Bronze OAPOS 6700/0%/6850 w/HSA | POS | 4ACQ | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Bronze | 28533 | Anthem Bronze PPO 6700/0%/6850 w/HSA | PPO | 4ACS | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Silver | 28534 | Anthem Silver PPO 2800/20%/6500 w/HSA | PPO | 4ACU | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Silver | 28535 | Anthem HealthKeepers Silver OAPOS 2800/20%/6500 w/HSA | POS | 4ACW | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Silver | 28536 | Anthem HealthKeepers Silver OAPOS 2500/35%/6500 | POS | 4ACY | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Silver | 28537 | Anthem HealthKeepers Silver OAPOS 4000/10%/5500 w/HSA | POS | 4AD0 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Silver | 28538 | Anthem Silver PPO 4000/10%/5500 w/HSA | PPO | 4AD2 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Bronze | 28539 | Anthem HealthKeepers Bronze OAPOS 6200/0%/7850 | POS | 4AD4 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Silver | 28540 | Anthem HealthKeepers Silver OAPOS 3500/30%/5500 | POS | 4AD6 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28541 | Anthem Gold PPO 30/30%/6000 | PPO | 4AD8 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28542 | Anthem HealthKeepers Gold OAPOS 30/30%/6000 | POS | 4ADA | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28543 | Anthem HealthKeepers Gold OAPOS 20/0%/5500 | POS | 4ADC | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28544 | Anthem Gold PPO 20/0%/5500 | PPO | 4ADE | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28545 | Anthem Gold PPO 1000/20%/5500 | PPO | 4ADG | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28546 | Anthem HealthKeepers Gold OAPOS 1000/20%/5500 | POS | 4ADJ | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Silver | 28547 | Anthem Silver PPO 3000/30%/7500 | PPO | 4ADL | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Silver | 28548 | Anthem Silver OAEPO 3500/20%/7500 | EPO | 4ADN | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Silver | 28549 | Anthem HealthKeepers Silver OAPOS 3000/30%/7500 | POS | 4ADQ | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Bronze | 28550 | Anthem Bronze PPO 6000/20%/8150 | PPO | 4ADS | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Bronze | 28551 | Anthem HealthKeepers Bronze OAPOS 6000/20%/8150 | POS | 4ADU | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28552 | Anthem Gold PPO 2800/10%/4000 w/HSA | PPO | 4ADW | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Gold | 28553 | Anthem HealthKeepers Gold OAPOS 2800/10%/4000 w/HSA | POS | 4ADY | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Silver | 28554 | Anthem Silver PPO 4500/20%/7000 | PPO | 4AE0 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Silver | 28555 | Anthem HealthKeepers Silver OAPOS 4500/20%/7000 | POS | 4AE2 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Bronze | 28556 | Anthem Bronze PPO 8150/0%/8150 | PPO | 4AE4 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Bronze | 28557 | Anthem HealthKeepers Bronze OAPOS 8150/0%/8150 | POS | 4AE6 | OFF-SHOP |
Benefits
| 1/1/2020 | 12/31/2020 | ANT | |
| VA | M | Silver | 28600 | Anthem Silver PPO 4500/20%/7000 w/HSA | PPO | 5L5V | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28601 | Anthem HealthKeepers Silver OAPOS 4500/20%/7000 w/HSA | POS | 5L5X | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Bronze | 28602 | Anthem Bronze PPO 8500/0%/8500 | PPO | 5L5Z | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Bronze | 28603 | Anthem HealthKeepers Bronze OAPOS 8500/0%/8500 | POS | 5L61 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28604 | Anthem Silver PPO 6000/20%/7000 w/HSA | PPO | 5L63 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28605 | Anthem HealthKeepers Silver OAPOS 6000/20%/7000 w/HSA | POS | 5L65 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28606 | Anthem Gold PPO 2800/10%/5000 w/HSA | PPO | 5L67 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28607 | Anthem HealthKeepers Gold OAPOS 2800/10%/5000 w/HSA | POS | 5L69 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28608 | Anthem Gold PPO 1000/20%/5500 | PPO | 5L6B | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28609 | Anthem HealthKeepers Gold OAPOS 1000/20%/5500 | POS | 5L6D | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Platinum | 28610 | Anthem HealthKeepers Platinum OAPOS 250/10%/4000 | POS | 5L6F | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Platinum | 28611 | Anthem Platinum PPO 250/10%/4000 | PPO | 5L6H | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Platinum | 28612 | Anthem HealthKeepers Platinum OAPOS 500/10%/4500 | POS | 5L6K | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Platinum | 28613 | Anthem Platinum PPO 500/10%/4500 | PPO | 5L6M | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Platinum | 28614 | Anthem HealthKeepers Platinum OAPOS 10/0%/3500 | POS | 5L6P | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Platinum | 28615 | Anthem Platinum PPO 10/0%/3500 | PPO | 5L6R | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28616 | Anthem Gold PPO 750/20%/7700 | PPO | 5L6T | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28617 | Anthem HealthKeepers Gold OAPOS 750/20%/7700 | POS | 5L6V | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28618 | Anthem Silver PPO 4000/20%/8550 | PPO | 5L6X | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28619 | Anthem HealthKeepers Silver OAPOS 4000/20%/8550 | POS | 5L6Z | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28620 | Anthem HealthKeepers Silver OAPOS 2250/50%/8550 | POS | 5L71 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28621 | Anthem Silver PPO 2250/50%/8550 | PPO | 5L73 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28622 | Anthem HealthKeepers Gold OAPOS 1500/20%/5750 | POS | 5L75 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28623 | Anthem Gold PPO 1500/20%/5750 | PPO | 5L77 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28624 | Anthem Gold PPO 1500/30%/6000 | PPO | 5L79 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28625 | Anthem HealthKeepers Gold OAPOS 1500/30%/6000 | POS | 5L7B | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28626 | Anthem HealthKeepers Gold OAPOS 2000/20%/5250 | POS | 5L7D | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28627 | Anthem Gold PPO 2000/20%/5250 | PPO | 5L7F | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28628 | Anthem HealthKeepers Silver OAPOS 6500/0%/8550 | POS | 5L7H | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28629 | Anthem HealthKeepers Silver OAPOS 3500/30%/5500 | POS | 5L7K | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28630 | Anthem Gold PPO 30/30%/6500 | PPO | 5L7M | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28631 | Anthem HealthKeepers Gold OAPOS 30/30%/6500 | POS | 5L7P | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28632 | Anthem HealthKeepers Gold OAPOS 20/0%/5500 | POS | 5L7R | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28633 | Anthem Gold PPO 20/0%/5500 | PPO | 5L7T | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28634 | Anthem Silver PPO 3250/20%/6750 w/HSA | PPO | 5L7V | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28635 | Anthem HealthKeepers Silver OAPOS 3250/20%/6750 w/HSA | POS | 5L7X | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28636 | Anthem HealthKeepers Silver OAPOS 2500/35%/6500 | POS | 5L7Z | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28637 | Anthem HealthKeepers Silver OAPOS 4000/20%/7000 w/HSA | POS | 5L81 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28638 | Anthem Silver PPO 4000/20%/7000 w/HSA | PPO | 5L83 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28639 | Anthem Gold PPO 25/20%/6000 | PPO | 5L85 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28640 | Anthem HealthKeepers Gold OAPOS 25/20%/6000 | POS | 5L87 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28641 | Anthem HealthKeepers Silver OAPOS 6850/0%/6850 w/HSA | POS | 5L89 | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28642 | Anthem Silver PPO 6850/0%/6850 w/HSA | PPO | 5L8B | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28643 | Anthem Silver PPO 5000/20%/7000 w/HSA | PPO | 5L8D | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28644 | Anthem HealthKeepers Silver OAPOS 5000/20%/7000 w/HSA | POS | 5L8F | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28645 | Anthem Silver PPO 5500/20%/8000 | PPO | 5L8H | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28646 | Anthem HealthKeepers Silver OAPOS 5500/20%/8000 | POS | 5L8K | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28647 | Anthem Gold PPO 3000/20%/5500 | PPO | 5L8M | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28648 | Anthem HealthKeepers Gold OAPOS 3000/20%/5500 | POS | 5L8P | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Platinum | 28649 | Anthem Link Platinum Blue Connection OAEPO 500/20%/2500 (MUST be sold with KeyCare PPO) | EPO | 5L8R | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28650 | Anthem Link Gold Blue Connection OAEPO 1000/20%/8000 (MUST be sold with KeyCare PPO) | EPO | 5L8T | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28651 | Anthem Link Gold Blue Connection OAEPO 2000/20%/5000 (MUST be sold with KeyCare PPO) | EPO | 5L8V | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Gold | 28652 | Anthem Link Gold Blue Connection OAEPO 3000/20%/6000 (MUST be sold with KeyCare PPO) | EPO | 5L8X | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| VA | M | Silver | 28653 | Anthem Link Silver Blue Connection OAEPO 7000/30%/8400 (MUST be sold with KeyCare PPO) | EPO | 5L8Z | OFF-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | ANT | |
| MD | M | None | 29001 | Combined Critical Illness Platinum $20,000 | CRI | CMBCRIPLA20KM | NA |
Benefits
| 10/1/2019 | 12/31/2021 | CMB | |
| DC | M | None | 29002 | Combined Critical Illness Platinum $20,000 | CRI | CMBCRIPLA20KD | NA |
Benefits
| 10/1/2019 | 12/31/2021 | CMB | |
| VA | M | None | 29003 | Combined Critical Illness Platinum $20,000 | CRI | CMBCRIPLA20KV | NA |
Benefits
| 10/1/2019 | 12/31/2021 | CMB | |
| MD | M | None | 29101 | Combined Accident Platinum Off-Job | ACC | CMBACCPLAOJM | NA |
Benefits
| 10/1/2019 | 12/31/2021 | CMB | |
| DC | M | None | 29102 | Combined Accident Platinum Off-Job | ACC | CMBACCPLAOJD | NA |
Benefits
| 10/1/2019 | 12/31/2021 | CMB | |
| VA | M | None | 29103 | Combined Accident Platinum Off-Job | ACC | CMBACCPLAOJV | NA |
Benefits
| 10/1/2019 | 12/31/2021 | CMB | |
| DC | M | Gold | 30001 | UnitedHealthcare Choice Gold 1000 HMO (BQAW-819) | HMO | BQAW.819 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30002 | UnitedHealthcare OCI Gold 1000 HMO (BQAB-819) | HMO | BQAB.819 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30003 | UnitedHealthcare Choice Plus Gold 1000 POS (BQAX-819) | POS | BQAX.819 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30004 | UnitedHealthcare OCI Gold 2000 HMO (BQAC-819) | HMO | BQAC.819 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30005 | UnitedHealthcare Choice Plus Gold 2750 POS (BQAY-819) | POS | BQAY.819 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30006 | UnitedHealthcare OCI Gold 3000 HMO (BQAD-819) | HMO | BQAD.819 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Silver | 30007 | UnitedHealthcare Choice Silver 5000 HMO (BQAZ-819) | HMO | BQAZ.819 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Silver | 30008 | UnitedHealthcare Choice Plus Silver 5000 POS (BQA2-819) | POS | BQA2.819 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Silver | 30009 | UnitedHealthcare OCI Silver 6500 HMO (BQAE-819) | HMO | BQAE.819 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30010 | UnitedHealthcare Choice Plus Gold 0-1 POS (BQAN-818) | POS | BQAN.818 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30011 | UnitedHealthcare OCI Gold 0 HMO (BQAA-813) | HMO | BQAA.813 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30012 | UnitedHealthcare Choice Gold 0 HMO (BQAK-813) | HMO | BQAK.813 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30013 | UnitedHealthcare Choice Plus Gold 0-2 POS (BQAM-813) | POS | BQAM.813 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Platinum | 30014 | UnitedHealthcare Choice Platinum 0 HMO (BQBD-820) | HMO | BQBD.820 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Platinum | 30015 | UnitedHealthcare OCI Platinum 0 HMO (BQAH-820) | HMO | BQAH.820 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Platinum | 30016 | UnitedHealthcare Choice Plus Platinum 0-2 POS (BQBJ-820) | POS | BQBJ.820 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Platinum | 30017 | UnitedHealthcare Choice Plus Platinum 0-1 POS (BQAQ-845) | POS | BQAQ.845 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Platinum | 30018 | UnitedHealthcare Choice Platinum 250 HMO (BQBB-814) | HMO | BQBB.814 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Platinum | 30019 | UnitedHealthcare OCI Platinum 250 HMO (BQAG-814) | HMO | BQAG.814 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Platinum | 30020 | UnitedHealthcare Choice Plus Platinum 250 POS (BQA3-814) | POS | BQA3.814 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30021 | UnitedHealthcare Choice Plus Gold 750 POS (BQA6-816) | POS | BQA6.816 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30022 | UnitedHealthcare Core Essential Gold 750 HMO (BQA4-A88L) | HMO | BQA4.A88L | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30023 | UnitedHealthcare Navigate Gold 750 HMO (BQAT-A88L) | HMO | BQAT.A88L | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30024 | UnitedHealthcare Choice Gold 1250 HMO (BQA9-816) | HMO | BQA9.816 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30025 | UnitedHealthcare Choice Plus Gold 1250 POS (BQA8-816) | POS | BQA8.816 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30026 | UnitedHealthcare Choice Gold 1750 HMO (BQA5-816) | HMO | BQA5.816 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30027 | UnitedHealthcare Choice Plus Gold 1750 POS (BQBA-816) | POS | BQBA.816 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30028 | UnitedHealthcare OCI Gold 1750 HMO (BQAF-816) | HMO | BQAF.816 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30029 | UnitedHealthcare Choice Gold 2000 HMO (BQA7-818) | HMO | BQA7.818 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30030 | UnitedHealthcare Choice Plus Gold 2000 POS (BQBC-818) | POS | BQBC.818 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Silver | 30031 | UnitedHealthcare Choice Silver 2750 HMO (BQBI-818) | HMO | BQBI.818 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Silver | 30032 | UnitedHealthcare Choice Plus Silver 2750 POS (BQBE-818) | POS | BQBE.818 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Silver | 30033 | UnitedHealthcare Core Essential Silver 2750 HMO (BQBK-A91L) | HMO | BQBK.A91L | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Silver | 30034 | UnitedHealthcare Navigate Silver 2750 HMO (BQAV-A91L) | HMO | BQAV.A91L | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Silver | 30035 | UnitedHealthcare OCI Silver 5000 HMO (BQAJ-818) | HMO | BQAJ.818 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Platinum | 30036 | UnitedHealthcare Choice Plus Platinum 0-2-1 POS (BQAR-A85) | POS | BQAR.A85 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30037 | UnitedHealthcare Choice Plus Gold 2020 POS (BQAL-A85) | POS | BQAL.A85 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Silver | 30038 | UnitedHealthcare Choice HSA Silver 2750 HMO (BQBF-816) | HMO | BQBF.816 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Silver | 30039 | UnitedHealthcare OCI HSA Silver 2750 HMO (BQAI-816) | HMO | BQAI.816 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Silver | 30040 | UnitedHealthcare Choice Plus HSA Silver 2750 POS (BQBG-816) | POS | BQBG.816 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Silver | 30041 | UnitedHealthcare Core Essential HSA Silver 2750 HMO (BQBH-A88L) | HMO | BQBH.A88L | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Silver | 30042 | UnitedHealthcare Navigate HSA Silver 2750 HMO (BQAU-A88L) | HMO | BQAU.A88L | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30043 | UnitedHealthcare OCI HSA Gold 1400 HMO (BHCT-816) | HMO | BHCT.816 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30044 | UnitedHealthcare Choice HSA Gold 1400 HMO (BHEZ-816) | HMO | BHEZ.816 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30045 | UnitedHealthcare Choice Plus HSA Gold 1400 POS (BHE6-816) | POS | BHE6.816 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30046 | UnitedHealthcare Choice Plus HSA Gold 1750 POS (BQAO-816) | POS | BQAO.816 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30047 | UnitedHealthcare Core Essential HSA Gold 1750 HMO (BQAP-A88L) | HMO | BQAP.A88L | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Gold | 30048 | UnitedHealthcare Navigate HSA Gold 1750 HMO (BQAS-A88L) | HMO | BQAS.A88L | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Bronze | 30049 | UnitedHealthcare OCI HSA Bronze 6700 HMO (BP99-575) | HMO | BP99.575 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Bronze | 30050 | UnitedHealthcare Choice HSA Bronze 6700 HMO (BHE3-575) | HMO | BHE3.575 | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Bronze | 30051 | UnitedHealthcare Core Essential HSA Bronze 6700 HMO (BQET-A89L) | HMO | BQET.A89L | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | M | Bronze | 30052 | UnitedHealthcare Navigate HSA Bronze 6700 HMO (BQEU-A89L) | HMO | BQEU.A89L | ON-SHOP |
Benefits
| 5/1/2020 | 12/31/2020 | UHC | |
| DC | D | N/A | 30102 | UnitedHealthcare Options PPO 20 (A7980/MAC) | DEN | A7980 | N/A |
Benefits
| 5/1/2020 | 12/31/2021 | UHC | |
| DC | D | N/A | 30103 | UnitedHealthcare Options PPO 20 (A7976/MAC) | DEN | A7976 | N/A |
Benefits
| 5/1/2020 | 12/31/2021 | UHC | |
| DC | D | N/A | 30104 | UnitedHealthcare Consumer MaxMultiplier Options PPO 20 (P3437/MAC) | DEN | P3437 | N/A |
Benefits
| 5/1/2020 | 12/31/2021 | UHC | |
| DC | D | N/A | 30105 | UnitedHealthcare Consumer MaxMultiplier Options PPO 30 (P4883/UCR90) | DEN | P4883 | N/A |
Benefits
| 5/1/2020 | 12/31/2021 | UHC | |
| DC | D | N/A | 30106 | UnitedHealthcare Consumer MaxMultiplier Options PPO 30 (X4887/UCR90) | DEN | X4887 | N/A |
Benefits
| 5/1/2020 | 6/30/2020 | UHC | |
| DC | D | N/A | 30107 | UnitedHealthcare Consumer MaxMultiplier Options PPO 20 (P8154/MAC) | DEN | P8154 | N/A |
Benefits
| 5/1/2020 | 12/31/2021 | UHC | |
| DC | D | N/A | 30108 | UnitedHealthcare Consumer MaxMultiplier Options PPO 20 (H3437/MAC) | DEN | H3437 | N/A |
Benefits
| 5/1/2020 | 12/31/2021 | UHC | |
| DC | D | N/A | 30109 | UnitedHealthcare National Options PPO 20 Network (1P754/MAC) | DEN | 1P754 | N/A |
Benefits
| 5/1/2020 | 6/30/2020 | UHC | |
| DC | D | N/A | 30110 | UnitedHealthcare National Options PPO 20 Network (1X754/MAC) | DEN | 1X754 | N/A |
Benefits
| 5/1/2020 | 6/30/2020 | UHC | |
| DC | V | N/A | 30200 | UnitedHealthcare Vision SL004 | VIS | SL004 | N/A |
Benefits
| 5/1/2020 | 12/31/2021 | UHC | |
| DC | V | N/A | 30201 | UnitedHealthcare Vision S1076 | VIS | S1076 | N/A |
Benefits
| 5/1/2020 | 12/31/2021 | UHC | |
| DC | V | N/A | 30202 | UnitedHealthcare Vision SH106 | VIS | SH106 | N/A |
Benefits
| 5/1/2020 | 12/31/2021 | UHC | |
| DC | V | N/A | 30203 | UnitedHealthcare Vision S1001 | VIS | S1001 | N/A |
Benefits
| 5/1/2020 | 12/31/2021 | UHC | |
| DC | V | N/A | 30204 | UnitedHealthcare Vision SH416 | VIS | SH416 | N/A |
Benefits
| 5/1/2020 | 12/31/2021 | UHC | |
| DC | V | N/A | 30205 | UnitedHealthcare Vision SH418 | VIS | SH418 | N/A |
Benefits
| 5/1/2020 | 12/31/2021 | UHC | |
| DC | V | N/A | 30206 | UnitedHealthcare Vision SH434 | VIS | SH434 | N/A |
Benefits
| 5/1/2020 | 12/31/2021 | UHC | |
| DC | V | N/A | 30207 | UnitedHealthcare Vision SH413 | VIS | SH413 | N/A |
Benefits
| 5/1/2020 | 12/31/2021 | UHC | |
| DC | V | N/A | 30208 | UnitedHealthcare Vision SH410 | VIS | SH410 | N/A |
Benefits
| 5/1/2020 | 12/31/2021 | UHC | |
| DC | L | N/A | 30300 | UnitedHealthcare Life and AD&D $25,000 | LIF | F25K | N/A |
Benefits
| 5/1/2020 | 12/31/2021 | UHC | |
| DC | L | N/A | 30301 | UnitedHealthcare Life and AD&D $50,000 | LIF | F50K | N/A |
Benefits
| 5/1/2020 | 12/31/2021 | UHC | |
| DC | M | Bronze | 30400 | UnitedHealthcare Choice Bronze 7000/100% EPO (CC-ET A89L) | HMO | CCET.A89L | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Bronze | 30401 | UnitedHealthcare Core Essential Bronze 7000/100% HMO (CC-EU A89L) | HMO | CCEU.A89L | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30402 | UnitedHealthcare Choice Gold 1600/90% EPO (CC-EV A88L) | HMO | CCEV.A88L | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30403 | UnitedHealthcare Choice Plus Gold 1600/90% POS (CC-EW A88L) | POS | CCEW.A88L | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30404 | UnitedHealthcare Choice Gold 30/100% EPO (CC-EX 813) | HMO | CCEX.813 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30405 | UnitedHealthcare Choice Plus Gold 30/100% POS (CC-EY 813) | POS | CCEY.813 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30406 | UnitedHealthcare Choice Plus Gold 70% POS (CC-EZ E72) | POS | CCEZ.E72 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30407 | UnitedHealthcare Choice Plus Gold 20/2020/80% POS (CC-E2 A85) | POS | CCE2.A85 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Platinum | 30408 | UnitedHealthcare Choice Plus Platinum 10/100% POS (CC-E5 845) | POS | CCE5.845 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Platinum | 30409 | UnitedHealthcare Choice Plus Platinum 20/80% POS (CC-E6 A85) | POS | CCE6.A85 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Platinum | 30410 | UnitedHealthcare Choice Platinum 500/50% EPO (CC-E7 E57) | HMO | CCE7.E57 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30411 | UnitedHealthcare Choice Gold 50/500/50% EPO (CC-E8 E57) | HMO | CCE8.E57 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30412 | UnitedHealthcare Choice Gold 1600/90% EPO (CC-NK 814) | HMO | CCNK.814 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30413 | UnitedHealthcare Choice Plus Gold 1600/90% POS (CC-NL 814) | POS | CCNL.814 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30414 | UnitedHealthcare Choice Plus Gold 30/750/80% POS (CC-FA 814) | POS | CCFA.814 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30415 | UnitedHealthcare Core Essential Gold 30/750/80% HMO (CC-FB A88L) | HMO | CCFB.A88L | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30416 | UnitedHealthcare Choice Gold 30/1500/100% EPO (CC-FC 814) | HMO | CCFC.814 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30417 | UnitedHealthcare Choice Plus Gold 30/1500/100% POS (CC-FD 814) | POS | CCFD.814 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30418 | UnitedHealthcare Choice Gold 1500/80% EPO (CC-FE E55) | HMO | CCFE.E55 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30419 | UnitedHealthcare Choice Plus Gold 1500/80% POS (CC-FF E55) | POS | CCFF.E55 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30420 | UnitedHealthcare Choice Gold 30/2000/100% EPO (CC-FG E54) | HMO | CCFG.E54 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30421 | UnitedHealthcare Choice Plus Gold 30/2000/100% POS (CC-FH E54) | POS | CCFH.E54 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30422 | UnitedHealthcare Choice Plus Gold 3000/100% POS (CC-FI E55) | POS | CCFI.E55 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30423 | UnitedHealthcare Choice Gold 30/1500/80% EPO (CC-FJ 814) | HMO | CCFJ.814 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30424 | UnitedHealthcare Choice Plus Gold 30/1500/80% POS (CC-FK 814) | POS | CCFK.814 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Platinum | 30425 | UnitedHealthcare Choice Platinum 15/250/100% EPO (CC-FL 814) | HMO | CCFL.814 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Platinum | 30426 | UnitedHealthcare Choice Plus Platinum 15/250/100% POS (CC-FM 814) | POS | CCFM.814 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Platinum | 30427 | UnitedHealthcare Choice Platinum 15/100% EPO (CC-FN 814) | HMO | CCFN.814 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Platinum | 30428 | UnitedHealthcare Choice Plus Platinum 15/100% POS (CC-FO 814) | POS | CCFO.814 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Silver | 30429 | UnitedHealthcare Choice Silver 30/2500/100% EPO (CC-FP A88L) | HMO | CCFP.A88L | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Silver | 30430 | UnitedHealthcare Choice Plus Silver 30/2500/100% POS (CC-FQ A88L) | POS | CCFQ.A88L | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Silver | 30431 | UnitedHealthcare Core Essential Silver 30/2500/100% HMO (CC-FR A88L) | HMO | CCFR.A88L | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Silver | 30432 | UnitedHealthcare Choice Plus Silver 5000/70% POS (CC-FT E55) | POS | CCFT.E55 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Silver | 30433 | UnitedHealthcare Choice Silver 35/3500/70% EPO (CC-FU E54) | HMO | CCFU.E54 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Silver | 30434 | UnitedHealthcare Choice Plus Silver 35/3500/70% POS (CC-FV E54) | POS | CCFV.E54 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Silver | 30435 | UnitedHealthcare Choice Silver 30/2500/100% EPO (CC-NM 814) | HMO | CCNM.814 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Silver | 30436 | UnitedHealthcare Choice Plus Silver 30/2500/100% POS (CC-NN 814) | POS | CCNN.814 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Bronze | 30437 | UnitedHealthcare Navigate Bronze 7000/100% HMO (CC-FY A89L) | HMO | CCFY.A89L | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30438 | UnitedHealthcare Navigate Gold 30/750/80% HMO (CC-FZ A88L) | HMO | CCFZ.A88L | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Silver | 30439 | UnitedHealthcare Navigate Silver 30/2500/100% HMO (CC-F2 A88L) | HMO | CCF2.A88L | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30440 | UnitedHealthcare OCI Gold 1600/90% HMO (CC-ED A88L) | HMO | CCED.A88L | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Bronze | 30441 | UnitedHealthcare OCI Bronze 7000/100% HMO (CC-EE A89L) | HMO | CCEE.A89L | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30442 | UnitedHealthcare OCI Gold 40/100% HMO (CC-EF 813) | HMO | CCEF.813 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Platinum | 30443 | UnitedHealthcare OCI Platinum 500/50% HMO (CC-EG E57) | HMO | CCEG.E57 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30444 | UnitedHealthcare OCI Gold 50/500/50% HMO (CC-EH E57) | HMO | CCEH.E57 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Silver | 30445 | UnitedHealthcare OCI Silver 50/5000/50% HMO (CC-EI E57) | HMO | CCEI.E57 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30446 | UnitedHealthcare OCI Gold 1600/90% HMO (CC-NI 814) | HMO | CCNI.814 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30447 | UnitedHealthcare OCI Gold 1500/80% HMO (CC-EJ E55) | HMO | CCEJ.E55 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30448 | UnitedHealthcare OCI Gold 2500/80% HMO (CC-EK E55) | HMO | CCEK.E55 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30449 | UnitedHealthcare OCI Gold 3500/80% HMO (CC-EL E55) | HMO | CCEL.E55 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Gold | 30450 | UnitedHealthcare OCI Gold 30/2000/80% HMO (CC-EM 814) | HMO | CCEM.814 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Platinum | 30451 | UnitedHealthcare OCI Platinum 15/250/100% HMO (CC-EN 814) | HMO | CCEN.814 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Platinum | 30452 | UnitedHealthcare OCI Platinum 15/100% HMO (CC-EO 814) | HMO | CCEO.814 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Silver | 30453 | UnitedHealthcare OCI Silver 30/2500/100% HMO (CC-EP A88L) | HMO | CCEP.A88L | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Silver | 30454 | UnitedHealthcare OCI Silver 45/5000/100% HMO (CC-EQ E54) | HMO | CCEQ.E54 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Silver | 30455 | UnitedHealthcare OCI Silver 6750/70% HMO (CC-ER E55) | HMO | CCER.E55 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Silver | 30456 | UnitedHealthcare OCI Silver 30/2000/100% HMO (CC-ES E58L) | HMO | CCES.E58L | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| DC | M | Silver | 30457 | UnitedHealthcare OCI Silver 30/2500/100% HMO (CC-NJ 814) | HMO | CCNJ.814 | ON-SHOP |
Benefits
| 1/1/2021 | 12/31/2021 | UHC | |
| MD | M | Bronze | 31000 | MD Bronze PPO 7500 70/50 INT Value | PPO | 287115 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| MD | M | Bronze | 31001 | MD Bronze HNOption 8000 70/50 INT | HMO | 287117 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| MD | M | Gold | 31002 | MD Gold HMO 2000 100% HSA T | HMO | 287119 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| MD | M | Silver | 31003 | MD Silver HMO 3500 100% HSA T | HMO | 287120 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| MD | M | Silver | 31004 | MD Silver OAEPO 2500 100% Value | EPO | 287123 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| MD | M | Silver | 31005 | MD Silver HMO 2500 100% SJ | HMO | 287124 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| MD | M | Silver | 31006 | MD Silver HMO 4500 80% | HMO | 287125 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| MD | M | Gold | 31007 | MD Gold OAEPO 1500 80% | EPO | 287126 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| MD | M | Gold | 31008 | MD Gold HMO 1000 100% E Value | HMO | 287128 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| MD | M | Gold | 31009 | MD Gold HMO 500 90% E | HMO | 287129 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| MD | M | Gold | 31010 | MD Gold HMO 100% 500A | HMO | 287130 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| VA | M | Silver | 31011 | VA Silver PPO 7000 80/50 | PPO | 287113 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| VA | M | Silver | 31012 | VA Silver HMO 7000 80% | HMO | 287114 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| VA | M | Gold | 31013 | Anthem Gold PPO 3000/20%/5500 - 66L2 | PPO | 16064VA1210114 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31014 | Anthem HealthKeepers Gold OAPOS 3000/20%/5500 - 66L4 | POS | 88380VA0740272 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31015 | Anthem Silver PPO 5500/20%/8000 - 66L6 | PPO | 16064VA1210113 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31016 | Anthem HealthKeepers Silver OAPOS 5500/20%/8000 - 66L8 | POS | 88380VA0740271 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31017 | Anthem Silver PPO 5000/20%/7050 w/HSA - 66LA | PPO | 16064VA1210112 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31018 | Anthem HealthKeepers Silver OAPOS 5000/20%/7050 w/HSA - 66LC | POS | 88380VA0740270 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Platinum | 31019 | Anthem Link Platinum HealthKeepers OAPOS 25/2500 - 66LE | POS | 88380VA0740273 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31020 | Anthem Link Gold HealthKeepers OAPOS 1000/6750 - 66LG | POS | 88380VA0740274 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31021 | Anthem Link Gold HealthKeepers OAPOS 2000/6250 - 66LJ | POS | 88380VA0740275 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31022 | Anthem Link Silver HealthKeepers OAPOS 35/8700 - 66LL | POS | 88380VA0740276 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31023 | Anthem Silver PPO 4500/20%/7050 w/HSA - 66LN | PPO | 16064VA1210109 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31024 | Anthem HealthKeepers Silver OAPOS 4500/20%/7050 w/HSA - 66LQ | POS | 88380VA0740266 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Bronze | 31025 | Anthem Bronze PPO 8500/0%/8500 - 66LS | PPO | 16064VA1210108 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Bronze | 31026 | Anthem HealthKeepers Bronze OAPOS 8500/0%/8500 - 66LU | POS | 88380VA0740265 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31027 | Anthem Silver PPO 6000/20%/6700 w/HSA - 66LW | PPO | 16064VA1210110 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31028 | Anthem HealthKeepers Silver OAPOS 6000/20%/6700 w/HSA - 66LY | POS | 88380VA0740267 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31029 | Anthem Gold PPO 2800/10%/5500 w/HSA - 66M0 | PPO | 16064VA1210106 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31030 | Anthem HealthKeepers Gold OAPOS 2800/10%/5500 w/HSA - 66M2 | POS | 88380VA0740263 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Platinum | 31031 | Anthem HealthKeepers Platinum OAPOS 250/10%/3000 - 66M4 | POS | 88380VA0740258 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Platinum | 31032 | Anthem Platinum PPO 250/10%/3000 - 66M6 | PPO | 16064VA1210101 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Platinum | 31033 | Anthem HealthKeepers Platinum OAPOS 500/10%/3500 - 66M8 | POS | 88380VA0740259 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Platinum | 31034 | Anthem Platinum PPO 500/10%/3500 - 66MA | PPO | 16064VA1210102 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Platinum | 31035 | Anthem HealthKeepers Platinum OAPOS 10/0%/3500 - 66MC | POS | 88380VA0740125 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Platinum | 31036 | Anthem Platinum PPO 10/0%/3500 - 66ME | PPO | 16064VA1210060 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31037 | Anthem HealthKeepers Silver OAPOS 6850/0%/6850 w/HSA - 66MG | POS | 88380VA0740269 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31038 | Anthem Silver PPO 6850/0%/6850 w/HSA - 66MJ | PPO | 16064VA1210111 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31039 | Anthem HealthKeepers Silver OAPOS 6500/0%/8700 - 66ML | POS | 88380VA0740268 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31040 | Anthem HealthKeepers Silver OAPOS 3500/30%/5500 - 66MN | POS | 88380VA0740106 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31041 | Anthem Gold PPO 30/30%/7500 - 66MQ | PPO | 16064VA1210059 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31042 | Anthem HealthKeepers Gold OAPOS 30/30%/7500 - 66MS | POS | 88380VA0740124 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31043 | Anthem HealthKeepers Gold OAPOS 20/0%/5500 - 66MU | POS | 88380VA0740170 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31044 | Anthem Gold PPO 20/0%/5500 - 66MW | PPO | 16064VA1210099 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31045 | Anthem Gold PPO 1000/20%/5750 - 66MY | PPO | 16064VA1210076 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31046 | Anthem HealthKeepers Gold OAPOS 1000/20%/5750 - 66N0 | POS | 88380VA0740141 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31047 | Anthem Gold PPO 750/20%/7700 - 66N2 | PPO | 16064VA1210063 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31048 | Anthem HealthKeepers Gold OAPOS 750/20%/7700 - 66N4 | POS | 88380VA0740128 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31049 | Anthem Silver PPO 4000/20%/8700 - 66N6 | PPO | 16064VA1210066 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31050 | Anthem HealthKeepers Silver OAPOS 4000/20%/8700 - 66N8 | POS | 88380VA0740131 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31051 | Anthem HealthKeepers Silver OAPOS 2250/50%/8700 - 66NA | POS | 88380VA0740132 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31052 | Anthem Silver PPO 2250/50%/8700 - 66NC | PPO | 16064VA1210067 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31053 | Anthem HealthKeepers Gold OAPOS 1500/20%/6250 - 66NE | POS | 88380VA0740127 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31054 | Anthem Gold PPO 1500/20%/6250 - 66NG | PPO | 16064VA1210062 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31055 | Anthem Gold PPO 1500/30%/6750 - 66NJ | PPO | 16064VA1210072 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31056 | Anthem HealthKeepers Gold OAPOS 1500/30%/6750 - 66NL | POS | 88380VA0740137 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31057 | Anthem HealthKeepers Gold OAPOS 2000/20%/5500 - 66NN | POS | 88380VA0740129 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31058 | Anthem Gold PPO 2000/20%/5500 - 66NQ | PPO | 16064VA1210064 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31059 | Anthem Silver PPO 3250/20%/6750 w/HSA - 66NS | PPO | 16064VA1210094 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31060 | Anthem HealthKeepers Silver OAPOS 3250/20%/6750 w/HSA - 66NU | POS | 88380VA0740166 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31061 | Anthem HealthKeepers Silver OAPOS 2500/35%/6500 - 66NW | POS | 88380VA0740107 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31062 | Anthem HealthKeepers Silver OAPOS 4000/20%/6750 w/HSA - 66NY | POS | 88380VA0740147 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Silver | 31063 | Anthem Silver PPO 4000/20%/6750 w/HSA - 66P0 | PPO | 16064VA1210082 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31064 | Anthem Gold PPO 25/20%/6000 - 66P2 | PPO | 16064VA1210097 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31065 | Anthem HealthKeepers Gold OAPOS 25/20%/6000 - 66P4 | POS | 88380VA0740167 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| VA | M | Gold | 31066 | Anthem Link Gold HealthKeepers OAPOS 25/6000 - 66P5 | POS | 88380VA0740277 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | ANT | |
| MD | M | Platinum | 31067 | BlueChoice Advantage Platinum Plan 0 | POS | 307504 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Platinum | 31068 | BlueChoice HMO Referral Platinum Plan 0 | HMO | 307505 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Platinum | 31069 | BlueChoice HMO Platinum Plan | HMO | 307507 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31070 | BlueChoice HMO Referral Gold Plan | HMO | 307510 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31071 | BlueChoice Advantage Gold Plan - $3,000 | POS | 307511 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Platinum | 31072 | BluePreferred PPO Platinum Plan- $500 | PPO | 307512 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31073 | BlueChoice Advantage HRA Non-Integrated BlueFund Gold Plan - $3,000 | POS | 307513 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31074 | BlueChoice Advantage HRA Non-Integrated Compatible Gold Plan - $3,000 | POS | 307514 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Platinum | 31075 | BluePreferred PPO Platinum Plan- $500 | PPO | 307515 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31076 | BlueChoice HMO Gold Plan - $3,000 | HMO | 307517 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31077 | BlueChoice HMO HRA Non-Integrated Compatible Gold Plan - $3,000 | HMO | 307519 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31078 | BlueChoice HMO HRA Non-Integrated BlueFund Gold Plan - $3,000 | HMO | 307520 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Platinum | 31079 | BlueChoice Advantage Platinum Plan | POS | 307523 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Platinum | 31080 | BlueChoice Plus Opt-Out Platinum Plan | POS | 307524 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Platinum | 31081 | BluePreferred PPO Platinum Plan | PPO | 307526 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Platinum | 31082 | BluePreferred PPO Platinum Plan | PPO | 307529 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31083 | BlueChoice HMO Gold Plan - $1,500 | HMO | 307535 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31084 | BlueChoice HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 307536 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31085 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 307537 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31086 | BlueChoice HMO Gold Plan - $500 | HMO | 307540 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31087 | BlueChoice HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 307542 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31088 | BlueChoice HMO Silver - $5,000 | HMO | 307546 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31089 | BlueChoice HMO HRA Non-Integrated Compatible Silver - $5,000 | HMO | 307547 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31090 | BlueChoice HMO HRA Non-Integrated BlueFund Silver - $5,000 | HMO | 307549 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31091 | BlueChoice Advantage Gold Plan - $0 | POS | 307552 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31092 | BlueChoice Advantage Gold Plan - $0 | POS | 307553 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31093 | BlueChoice Plus HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 307554 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31094 | BlueChoice Plus HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 307555 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31095 | BlueChoice Plus HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 307556 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31096 | BlueChoice Plus HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 307557 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31097 | BlueChoice Plus Gold Plan - $500 | POS | 307558 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31098 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,000 | PPO | 307559 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31099 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 307560 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31100 | BluePreferred PPO Gold Plan - $500 | PPO | 307561 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31101 | BlueChoice Advantage HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 307564 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31102 | BlueChoice Advantage HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 307566 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31103 | BlueChoice Advantage Gold Plan - $500 | POS | 307567 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31104 | BlueChoice Plus Gold Plan - $1,000 | POS | 307568 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31105 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,000 | PPO | 307569 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31106 | BlueChoice Advantage HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 307572 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31107 | BlueChoice Plus Gold Plan - $500 | POS | 307573 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31108 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,000 | PPO | 307574 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31109 | BluePreferred PPO Gold Plan - $1,000 | PPO | 307575 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31110 | BlueChoice Advantage Gold Plan - $1,000 | POS | 307578 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31111 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 307579 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31112 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 307580 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31113 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,000 | PPO | 307581 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31114 | BluePreferred PPO Gold Plan - $1,500 | PPO | 307582 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31115 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 307583 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31116 | BlueChoice Advantage HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 307588 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31117 | BlueChoice Advantage Gold Plan - $1,000 | POS | 307589 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31118 | BlueChoice Advantage Gold Plan - $500 | POS | 307590 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31119 | BlueChoice Plus Gold Plan - $1,000 | POS | 307594 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31120 | BluePreferred PPO Gold Plan - $1,000 | PPO | 307595 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31121 | BluePreferred PPO Gold Plan - $1,500 | PPO | 307596 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31122 | BluePreferred PPO Gold Plan - $500 | PPO | 307597 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Platinum | 31123 | HealthyBlue Advantage Platinum Plan - $500 | POS | 307600 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31124 | BlueChoice Advantage Silver Plan - $5,000 | POS | 307602 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31125 | BlueChoice Advantage HRA Non-Integrated BlueFund Silver Plan - $5,000 | POS | 307603 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Platinum | 31126 | HealthyBlue Plus Platinum Plan- $500 | POS | 307604 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31127 | BlueChoice Advantage HRA Non-Integrated BlueFund Silver Plan - $5,000 | POS | 307606 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31128 | BlueChoice Advantage HRA Non-Integrated Compatible Silver Plan - $5,000 | POS | 307607 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31129 | BlueChoice Advantage Silver Plan - $5,000 | POS | 307608 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Platinum | 31130 | HealthyBlue Plus Platinum Plan- $500 | POS | 307609 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31131 | BlueChoice Advantage HRA Non-Integrated Compatible Silver Plan - $5,000 | POS | 307610 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Platinum | 31132 | HealthyBlue Advantage Platinum Plan - $500 | POS | 307611 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31133 | BlueChoice Advantage HRA Integrated BlueFund Bronze Plan - $6,000 | POS | 307616 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31134 | BlueChoice Advantage HRA Integrated Compatible Bronze Plan - $6,000 | POS | 307618 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31135 | BlueChoice Advantage HRA Integrated BlueFund Bronze Plan - $6,000 | POS | 307619 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31136 | BlueChoice HMO Bronze Plan - $6,000 | HMO | 307620 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31137 | BlueChoice Advantage Bronze Plan - $6,000 | POS | 307621 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31138 | BlueChoice HMO HRA Integrated Compatible Bronze Plan - $6,000 | HMO | 307622 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31139 | BlueChoice Advantage Bronze Plan - $6,000 | POS | 307624 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31140 | BlueChoice Advantage HRA Integrated Compatible Bronze Plan - $6,000 | POS | 307625 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31141 | BlueChoice HMO HRA Integrated BlueFund Bronze Plan - $6,000 | HMO | 307627 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31142 | BlueChoice HMO Referral Silver Plan - $4,000 | HMO | 307629 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31143 | BlueChoice HMO HRA Non-Integrated Compatible Silver Plan - $1,500 | HMO | 307632 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31144 | BlueChoice HMO HRA Non-Integrated BlueFund Silver Plan - $1,500 | HMO | 307633 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31145 | BlueChoice HMO Silver Plan - $1,500 | HMO | 307635 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31146 | BlueChoice HMO Referral HRA Non-Integrated Compatible Silver Plan - $4,000 | HMO | 307638 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31147 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Silver Plan - $4,000 | HMO | 307639 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31148 | BlueChoice Advantage HRA Non-Integrated Compatible Silver Plan - $4,000 | POS | 307640 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31149 | BlueChoice Advantage HRA Non-Integrated Compatible Silver Plan - $4,000 | POS | 307642 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31150 | BlueChoice Advantage HRA Non-Integrated BlueFund Silver Plan - $4,000 | POS | 307643 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31151 | BlueChoice Advantage Silver Plan - $4,000 | POS | 307644 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31152 | BlueChoice Advantage HRA Non-Integrated BlueFund Silver Plan - $4,000 | POS | 307645 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31153 | BluePreferred PPO HRA Non-Integrated Compatible Silver Plan - $1,500 | PPO | 307646 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31154 | BluePreferred PPO HRA Non-Integrated BlueFund Silver Plan - $1,500 | PPO | 307647 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31155 | BlueChoice Advantage Silver Plan - $4,000 | POS | 307650 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31156 | BluePreferred PPO HRA Non-Integrated Compatible Silver Plan - $1,500 | PPO | 307651 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31157 | BluePreferred PPO HRA Non-Integrated BlueFund Silver Plan - $1,500 | PPO | 307652 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31158 | BluePreferred PPO Silver Plan - $1,500 | PPO | 307653 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31159 | BluePreferred PPO Silver Plan - $1,500 | PPO | 307654 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31160 | BlueChoice HMO Referral Bronze Plan - $8,250 | HMO | 307658 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31161 | BlueChoice HMO Referral HRA Integrated BlueFund Bronze Plan - $8,250 | HMO | 307659 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31162 | BlueChoice HMO Referral HRA Integrated Compatible Bronze Plan - $8,250 | HMO | 307660 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31163 | BlueChoice Advantage HRA Integrated Compatible Bronze Plan - $6,100 | POS | 307667 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31164 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 307668 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31165 | BlueChoice Plus HSA BlueFund Bronze Plan - $6,100 | POS | 307669 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31166 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $1,500 | POS | 307670 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31167 | BlueChoice Plus HSA BlueFund Silver Plan - $1,500 | POS | 307671 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31168 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $1,500 | PPO | 307672 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31169 | BlueChoice Advantage HRA Integrated Compatible Bronze Plan - $6,100 | POS | 307677 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31170 | BlueChoice Advantage HRA Integrated BlueFund Bronze Plan - $6,100 | POS | 307678 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31171 | BlueChoice Advantage HDHP Silver Plan - $1,500 | POS | 307679 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31172 | BlueChoice Plus HRA Integrated BlueFund Bronze Plan - $6,100 | POS | 307680 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31173 | BlueChoice Plus HDHP Bronze Plan - $6,100 | POS | 307681 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31174 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $1,500 | POS | 307682 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31175 | BluePreferred PPO HSA Compatible Silver Plan - $1,500 | PPO | 307683 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31176 | BluePreferred PPO HDHP Silver Plan - $1,500 | PPO | 307684 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31177 | BlueChoice Plus HSA Compatible Silver Plan - $1,500 | POS | 307685 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31178 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $1,500 | POS | 307688 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31179 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $1,500 | POS | 307689 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31180 | BlueChoice Advantage HDHP Silver Plan - $1,500 | POS | 307690 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31181 | BlueChoice Plus HRA Integrated Compatible Bronze Plan - $6,100 | POS | 307696 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31182 | BluePreferred PPO HSA BlueFund Silver Plan - $1,500 | PPO | 307697 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31183 | BlueChoice Plus HSA Compatible Silver Plan - $1,500 | POS | 307698 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31184 | BlueChoice Plus HDHP Bronze Plan - $6,100 | POS | 307701 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31185 | BlueChoice Plus HRA Integrated Compatible Bronze Plan - $6,100 | POS | 307702 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31186 | BlueChoice Plus HSA BlueFund Silver Plan - $1,500 | POS | 307703 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31187 | BlueChoice Advantage HRA Integrated BlueFund Bronze Plan - $6,100 | POS | 307707 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31188 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $1,500 | POS | 307708 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31189 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $1,500 | POS | 307709 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31190 | BlueChoice Plus HSA Compatible Bronze Plan - $6,100 | POS | 307710 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31191 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $1,500 | PPO | 307711 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31192 | BlueChoice Advantage HSA Compatible Bronze Plan - $6,100 | POS | 307714 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31193 | BlueChoice Advantage HSA BlueFund Bronze Plan - $6,100 | POS | 307715 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31194 | BlueChoice Advantage HDHP Bronze Plan - $6,100 | POS | 307716 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31195 | BlueChoice Advantage HSA Compatible Bronze Plan - $6,100 | POS | 307717 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31196 | BlueChoice Advantage HSA Compatible Silver Plan - $1,500 | POS | 307718 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31197 | BlueChoice Plus HSA Compatible Bronze Plan - $6,100 | POS | 307719 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31198 | BlueChoice Plus HRA Integrated BlueFund Bronze Plan - $6,100 | POS | 307720 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31199 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $1,500 | POS | 307721 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31200 | BlueChoice Plus HDHP Silver Plan - $1,500 | POS | 307722 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31201 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $1,500 | POS | 307723 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31202 | BlueChoice Plus HDHP Silver Plan - $1,500 | POS | 307724 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31203 | BlueChoice Advantage HSA BlueFund Bronze Plan - $6,100 | POS | 307728 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31204 | BlueChoice Advantage HDHP Bronze Plan - $6,100 | POS | 307729 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31205 | BlueChoice Advantage HSA Compatible Silver Plan - $1,500 | POS | 307730 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31206 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 307731 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31207 | BlueChoice Plus HSA BlueFund Bronze Plan - $6,100 | POS | 307732 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31208 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $3,000 | POS | 307737 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31209 | BlueChoice Advantage HSA BlueFund Silver Plan - $2,000 | POS | 307738 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31210 | BluePreferred PPO HSA Compatible Silver Plan - $2,000 | PPO | 307739 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31211 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 307740 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31212 | BluePreferred PPO HDHP Silver Plan - $2,000 | PPO | 307741 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31213 | BlueChoice Advantage HSA Compatible Silver Plan - $3,000 | POS | 307742 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31214 | BlueChoice Plus HSA Compatible Silver Plan - $3,000 | POS | 307743 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31215 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $3,000 | POS | 307744 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31216 | BlueChoice Advantage HDHP Silver Plan - $3,000 | POS | 307747 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31217 | BlueChoice Advantage HSA Compatible Silver Plan - $2,000 | POS | 307748 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31218 | BlueChoice Advantage HSA BlueFund Silver Plan - $2,000 | POS | 307749 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31219 | BlueChoice Advantage HDHP Silver Plan - $2,000 | POS | 307750 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31220 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $3,000 | POS | 307751 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31221 | BluePreferred PPO HSA BlueFund Silver Plan - $2,000 | PPO | 307752 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31222 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $3,000 | POS | 307755 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31223 | BluePreferred PPO HSA Compatible Silver Plan - $2,000 | PPO | 307756 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31224 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $2,000 | POS | 307757 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31225 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $2,000 | POS | 307758 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31226 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $2,000 | POS | 307759 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31227 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $3,000 | POS | 307760 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31228 | BlueChoice Plus HDHP Silver Plan - $3,000 | POS | 307761 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31229 | BlueChoice Plus HSA BlueFund Silver Plan - $3,000 | POS | 307762 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31230 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 307763 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31231 | BlueChoice Advantage HDHP Silver Plan - $3,000 | POS | 307766 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31232 | BlueChoice Advantage HDHP Silver Plan - $2,000 | POS | 307767 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31233 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $2,000 | POS | 307768 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31234 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $3,000 | POS | 307769 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31235 | BlueChoice Advantage HSA BlueFund Silver Plan - $3,000 | POS | 307772 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31236 | BlueChoice Advantage HSA BlueFund Silver Plan - $3,000 | POS | 307773 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31237 | BlueChoice Advantage HSA Compatible Silver Plan - $2,000 | POS | 307774 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31238 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 307775 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31239 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 307776 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31240 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $3,000 | POS | 307781 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31241 | BlueChoice Advantage HSA Compatible Silver Plan - $3,000 | POS | 307782 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31242 | BlueChoice Plus HSA BlueFund Silver Plan - $3,000 | POS | 307783 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31243 | BluePreferred PPO HDHP Silver Plan - $2,000 | PPO | 307784 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31244 | BluePreferred PPO HSA BlueFund Silver Plan - $2,000 | PPO | 307785 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31245 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $3,000 | POS | 307786 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31246 | BlueChoice Plus HSA Compatible Silver Plan - $3,000 | POS | 307787 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31247 | BlueChoice Plus HDHP Silver Plan - $3,000 | POS | 307788 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31248 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $1,500 | PPO | 307792 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31249 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $1,500 | PPO | 307793 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31250 | BluePreferred PPO HSA Compatible Silver Plan - $1,500 | PPO | 307794 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31251 | BluePreferred PPO HSA BlueFund Silver Plan - $1,500 | PPO | 307795 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31252 | BluePreferred PPO HDHP Silver Plan - $1,500 | PPO | 307796 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31253 | BlueChoice HMO HSA BlueFund Silver Plan - $3,000 | HMO | 307797 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31254 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $3,000 | HMO | 307798 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31255 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $3,000 | HMO | 307799 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31256 | BlueChoice HMO HSA Compatible Silver Plan - $3,000 | HMO | 307800 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31257 | BlueChoice HMO HDHP Silver Plan - $3,000 | HMO | 307801 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31258 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 | HMO | 307802 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31259 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 | HMO | 307803 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31260 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 307804 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31261 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 307805 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31262 | BlueChoice HMO HDHP Silver Plan - $2,000 | HMO | 307806 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31263 | BlueChoice HMO HRA Integrated Compatible Bronze Plan - $6,100 | HMO | 307807 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31264 | BlueChoice HMO HSA Compatible Bronze Plan - $6,100 | HMO | 307811 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31265 | BlueChoice HMO HDHP Bronze Plan - $6,100 | HMO | 307819 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31266 | BlueChoice HMO HSA Compatible Silver Plan - $1,500 | HMO | 307820 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31267 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $1,500 | HMO | 307822 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31268 | BlueChoice HMO HSA BlueFund Silver Plan - $1,500 | HMO | 307823 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31269 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $1,500 | HMO | 307824 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31270 | BlueChoice HMO HDHP Silver Plan - $1,500 | HMO | 307825 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31271 | BlueChoice HMO HRA Integrated BlueFund Bronze Plan - $6,100 | HMO | 307828 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31272 | BlueChoice HMO HSA BlueFund Bronze Plan - $6,100 | HMO | 307829 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31273 | BlueChoice Advantage HRA Non-Integrated BlueFund Gold Plan - $3,000 | POS | 307837 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31274 | BlueChoice Advantage Gold Plan - $3,000 | POS | 307838 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31275 | BlueChoice Advantage HRA Non-Integrated Compatible Gold Plan - $3,000 | POS | 307839 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31276 | BlueChoice HMO HDHP Gold Plan - $1,500 | HMO | 307840 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31277 | BlueChoice HMO HSA BlueFund Gold Plan - $1,500 | HMO | 307841 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31278 | BlueChoice HMO HSA Compatible Gold Plan - $1,500 | HMO | 307842 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31279 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,500 | HMO | 307845 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31280 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,500 | HMO | 307848 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31281 | BlueChoice Advantage HSA BlueFund 90 Gold Plan - $1,500 | POS | 307853 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31282 | BlueChoice HMO HDHP 90 Bronze Plan - $6,500 | HMO | 307854 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31283 | BlueChoice HMO HRA Integrated Compatible 90 Bronze Plan - $6,500 | HMO | 307855 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31284 | BlueChoice HMO HRA Integrated BlueFund 90 Gold Plan - $1,500 | HMO | 307856 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31285 | BlueChoice HMO HSA Compatible 90 Gold Plan - $1,500 | HMO | 307857 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31286 | BlueChoice HMO HDHP 90 Gold Plan - $1,500 | HMO | 307858 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31287 | BluePreferred PPO HRA Integrated Compatible 90/70 Gold Plan - $1,000 | PPO | 307859 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31288 | BlueChoice Advantage HSA BlueFund 90 Gold Plan - $1,500 | POS | 307863 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31289 | BlueChoice HMO HSA BlueFund 90 Gold Plan - $1,500 | HMO | 307864 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31290 | BlueChoice HMO HSA BlueFund 90 Bronze Plan - $6,500 | HMO | 307865 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31291 | BlueChoice Advantage HRA Integrated Compatible 90 Gold Plan - $1,500 | POS | 307866 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31292 | BlueChoice Advantage HRA Integrated BlueFund 90 Gold Plan - $1,500 | POS | 307868 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31293 | BluePreferred PPO HRA Integrated Compatible 90/70 Gold Plan - $1,000 | PPO | 307870 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31294 | BlueChoice Advantage HDHP 90 Gold Plan - $1,500 | POS | 307874 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31295 | BlueChoice Advantage HDHP 90 Gold Plan - $1,500 | POS | 307875 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31296 | BlueChoice HMO HRA Integrated BlueFund 90 Bronze Plan - $6,500 | HMO | 307876 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31297 | BluePreferred PPO 90/70 Gold Plan - $1,000 | PPO | 307877 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31298 | BlueChoice HMO HRA Integrated Compatible 90 Gold Plan - $1,500 | HMO | 307883 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31299 | BluePreferred PPO 90/70 Gold Plan - $1,000 | PPO | 307884 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31300 | BlueChoice Advantage HSA Compatible 90 Gold Plan - $1,500 | POS | 307888 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31301 | BlueChoice Advantage HRA Integrated BlueFund 90 Gold Plan - $1,500 | POS | 307889 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31302 | BlueChoice HMO HSA Compatible 90 Bronze Plan - $6,500 | HMO | 307890 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31303 | BluePreferred PPO HRA Integrated BlueFund 90/70 Gold Plan - $1,000 | PPO | 307891 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31304 | BlueChoice Advantage HSA Compatible 90 Gold Plan - $1,500 | POS | 307894 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31305 | BlueChoice Advantage HRA Integrated Compatible 90 Gold Plan - $1,500 | POS | 307895 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31306 | BluePreferred PPO HRA Integrated BlueFund 90/70 Gold Plan - $1,000 | PPO | 307896 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31307 | BlueChoice HMO Gold Plan - $1,000 | HMO | 307900 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31308 | BlueChoice HMO HDHP Silver Plan - $2,400 | HMO | 307908 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31309 | BluePreferred PPO HRA Integrated Compatible 80/60 Silver Plan - $2,400 | PPO | 307909 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31310 | BluePreferred PPO HRA Integrated BlueFund 80/60 Silver Plan - $2,400 | PPO | 307910 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31311 | BlueChoice HMO HSA BlueFund Silver Plan - $2,400 | HMO | 307913 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31312 | BluePreferred PPO HSA Compatible 80/60 Silver Plan - $2,400 | PPO | 307914 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31313 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,400 | HMO | 307918 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31314 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 | HMO | 307919 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31315 | BluePreferred PPO HSA BlueFund 80/60 Silver Plan - $2,400 | PPO | 307920 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31316 | BluePreferred PPO HDHP 80/60 Silver Plan - $2,400 | PPO | 307922 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31317 | BluePreferred PPO HSA BlueFund 80/60 Silver Plan - $2,400 | PPO | 307923 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31318 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 | HMO | 307928 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31319 | BluePreferred PPO HRA Integrated BlueFund 80/60 Silver Plan - $2,400 | PPO | 307929 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31320 | BlueChoice HMO HSA Compatible Silver Plan - $2,400 | HMO | 307934 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31321 | BluePreferred PPO HDHP 80/60 Silver Plan - $2,400 | PPO | 307935 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31322 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,400 | HMO | 307938 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31323 | BluePreferred PPO HRA Integrated Compatible 80/60 Silver Plan - $2,400 | PPO | 307939 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31324 | BluePreferred PPO HSA Compatible 80/60 Silver Plan - $2,400 | PPO | 307940 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31325 | BlueChoice Advantage HDHP 70 Silver Plan - $3,000 | POS | 307944 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31326 | BlueChoice Advantage HRA Integrated Compatible 70 Silver Plan - $2,100 | POS | 307945 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31327 | BlueChoice Advantage HDHP 70 Silver Plan - $2,100 | POS | 307946 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31328 | BlueChoice Advantage HRA Integrated Compatible 70 Silver Plan - $2,100 | POS | 307947 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31329 | BlueChoice HMO HSA BlueFund 70 Silver Plan - $3,000 | HMO | 307948 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31330 | BlueChoice HMO HDHP 70 Silver Plan - $2,100 | HMO | 307949 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31331 | BluePreferred PPO HRA Integrated Compatible 70 Silver Plan - $2,100 | PPO | 307950 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31332 | BluePreferred PPO HSA Compatible 70 Silver Plan - $2,100 | PPO | 307951 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31333 | BlueChoice Advantage HRA Integrated Compatible 70 Silver Plan - $3,000 | POS | 307956 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31334 | BlueChoice Advantage HSA Compatible 70 Silver Plan - $3,000 | POS | 307957 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31335 | BlueChoice Advantage HRA Integrated BlueFund 70 Silver Plan - $3,000 | POS | 307958 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31336 | BlueChoice Advantage HSA BlueFund 70 Silver Plan - $2,100 | POS | 307959 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31337 | BluePreferred PPO HDHP 70 Silver Plan - $2,100 | PPO | 307960 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31338 | BluePreferred PPO HSA BlueFund 70 Silver Plan - $2,100 | PPO | 307961 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31339 | BlueChoice Advantage HSA BlueFund 70 Silver Plan - $3,000 | POS | 307964 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31340 | BlueChoice Advantage HDHP 70 Silver Plan - $3,000 | POS | 307965 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31341 | BlueChoice Advantage HRA Integrated BlueFund 70 Silver Plan - $2,100 | POS | 307966 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31342 | BluePreferred PPO HRA Integrated BlueFund 70 Silver Plan - $2,100 | PPO | 307967 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31343 | BluePreferred PPO HDHP 70 Silver Plan - $2,100 | PPO | 307968 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31344 | BlueChoice HMO HDHP 70 Silver Plan - $3,000 | HMO | 307970 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31345 | BlueChoice HMO HRA Integrated BlueFund 70 Silver Plan - $2,100 | HMO | 307971 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31346 | BlueChoice HMO HRA Integrated Compatible 70 Silver Plan - $2,100 | HMO | 307972 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31347 | BluePreferred PPO HSA Compatible 70 Silver Plan - $2,100 | PPO | 307973 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31348 | BlueChoice Advantage HRA Integrated BlueFund 70 Silver Plan - $3,000 | POS | 307975 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31349 | BlueChoice Advantage HRA Integrated Compatible 70 Silver Plan - $3,000 | POS | 307976 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31350 | BlueChoice Advantage HSA Compatible 70 Silver Plan - $2,100 | POS | 307977 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31351 | BlueChoice Advantage HDHP 70 Silver Plan - $2,100 | POS | 307978 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31352 | BlueChoice HMO HSA Compatible 70 Silver Plan - $2,100 | HMO | 307979 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31353 | BluePreferred PPO HRA Integrated Compatible 70 Silver Plan - $2,100 | PPO | 307980 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31354 | BlueChoice HMO HRA Integrated BlueFund 70 Silver Plan - $3,000 | HMO | 307988 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31355 | BlueChoice Advantage HSA Compatible 70 Silver Plan - $3,000 | POS | 307989 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31356 | BlueChoice Advantage HSA Compatible 70 Silver Plan - $2,100 | POS | 307990 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31357 | BlueChoice HMO HRA Integrated Compatible 70 Silver Plan - $3,000 | HMO | 307991 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31358 | BlueChoice HMO HSA BlueFund 70 Silver Plan - $2,100 | HMO | 307992 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31359 | BluePreferred PPO HSA BlueFund 70 Silver Plan - $2,100 | PPO | 307995 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31360 | BluePreferred PPO HRA Integrated BlueFund 70 Silver Plan - $2,100 | PPO | 307996 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31361 | BlueChoice Advantage HSA BlueFund 70 Silver Plan - $3,000 | POS | 308002 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31362 | BlueChoice Advantage HSA BlueFund 70 Silver Plan - $2,100 | POS | 308003 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31363 | BlueChoice Advantage HRA Integrated BlueFund 70 Silver Plan - $2,100 | POS | 308004 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31364 | BlueChoice HMO HSA Compatible 70 Silver Plan - $3,000 | HMO | 308005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31365 | BlueChoice HMO Referral HRA Integrated Compatible Bronze Plan - $6,200 | HMO | 308009 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31366 | BluePreferred PPO HSA BlueFund Bronze Plan - $6,200 | PPO | 308010 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31367 | BluePreferred PPO HRA Integrated Compatible Bronze Plan - $6,200 | PPO | 308011 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31368 | BluePreferred PPO HSA Compatible Bronze Plan - $6,200 | PPO | 308012 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31369 | BluePreferred PPO HDHP Bronze Plan - $6,200 | PPO | 308013 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31370 | BluePreferred PPO HDHP Bronze Plan - $6,200 | PPO | 308014 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31371 | BlueChoice HMO Referral HSA Compatible Bronze Plan - $6,200 | HMO | 308015 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31372 | BlueChoice HMO Referral HDHP Bronze Plan - $6,200 | HMO | 308016 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31373 | BluePreferred PPO HSA BlueFund Bronze Plan - $6,200 | PPO | 308017 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31374 | BluePreferred PPO HRA Integrated Compatible Bronze Plan - $6,200 | PPO | 308018 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31375 | BlueChoice HMO Referral HRA Integrated BlueFund Bronze Plan - $6,200 | HMO | 308019 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31376 | BlueChoice HMO Referral HSA BlueFund Bronze Plan - $6,200 | HMO | 308020 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31377 | BluePreferred PPO HRA Integrated BlueFund Bronze Plan - $6,200 | PPO | 308021 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31378 | BluePreferred PPO HRA Integrated BlueFund Bronze Plan - $6,200 | PPO | 308022 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Bronze | 31379 | BluePreferred PPO HSA Compatible Bronze Plan - $6,200 | PPO | 308023 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31380 | BlueChoice Advantage HRA Integrated Compatible Gold Plan - $1,500 | POS | 308024 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31381 | BlueChoice Advantage HRA Integrated BlueFund Gold Plan - $1,500 | POS | 308025 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31382 | BlueChoice Advantage HSA BlueFund Gold Plan - $1,500 | POS | 308026 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31383 | BlueChoice Advantage HRA Integrated Compatible Gold Plan - $1,500 | POS | 308027 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31384 | BlueChoice Advantage HSA Compatible Gold Plan - $1,500 | POS | 308029 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31385 | BlueChoice Advantage HRA Integrated BlueFund Gold Plan - $1,500 | POS | 308030 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31386 | BlueChoice Advantage HDHP Gold Plan - $1,500 | POS | 308031 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31387 | BlueChoice Advantage HSA Compatible Gold Plan - $1,500 | POS | 308035 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31388 | BlueChoice Advantage HDHP Gold Plan - $1,500 | POS | 308036 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Gold | 31389 | BlueChoice Advantage HSA BlueFund Gold Plan - $1,500 | POS | 308038 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31390 | BlueChoice Plus HSA BlueFund Silver Plan - $2,500 | POS | 308042 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31391 | BlueChoice Plus HSA Compatible Silver Plan - $2,500 | POS | 308043 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31392 | BlueChoice Plus HSA BlueFund Silver Plan - $2,500 | POS | 308044 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31393 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $2,500 | POS | 308046 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31394 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $2,500 | POS | 308047 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31395 | BlueChoice Plus HDHP Silver Plan - $2,500 | POS | 308048 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31396 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $2,500 | POS | 308050 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31397 | BlueChoice Plus HSA Compatible Silver Plan - $2,500 | POS | 308051 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31398 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $2,500 | POS | 308052 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| MD | M | Silver | 31399 | BlueChoice Plus HDHP Silver Plan - $2,500 | POS | 308053 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Platinum | 31400 | BlueChoice HMO Referral Platinum Plan | HMO | 307506 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Platinum | 31401 | BlueChoice HMO Platinum Plan | HMO | 307508 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31402 | BlueChoice HMO Referral Gold Plan | HMO | 307509 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Platinum | 31403 | BluePreferred PPO Platinum Plan - $500 | PPO | 307516 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31404 | BlueChoice HMO HRA Non-Integrated Compatible Gold Plan- $3,000 | HMO | 307518 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31405 | BlueChoice HMO Gold Plan- $3,000 | HMO | 307521 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31406 | BlueChoice HMO HRA Non-Integrated BlueFund Gold Plan- $3,000 | HMO | 307522 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Platinum | 31407 | BlueChoice Plus Opt-Out Platinum Plan | POS | 307525 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Platinum | 31408 | BlueChoice Advantage Platinum Plan | POS | 307527 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Platinum | 31409 | BluePreferred PPO Platinum Plan | PPO | 307528 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Platinum | 31410 | BluePreferred PPO 100%/80% Platinum Plan - SE | PPO | 307530 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Platinum | 31411 | BluePreferred PPO 100%/80% Platinum Plan | PPO | 307531 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31412 | BlueChoice Advantage Gold Plan- $3,000 | POS | 307532 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31413 | BlueChoice Advantage HRA Non-Integrated Compatible Gold Plan- $3,000 | POS | 307533 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31414 | BlueChoice Advantage HRA Non-Integrated BlueFund Gold Plan- $3,000 | POS | 307534 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31415 | BlueChoice HMO HRA Non-Integrated BlueFund Gold Plan - $1,500 | HMO | 307538 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31416 | BlueChoice HMO Gold Plan - $1,500 | HMO | 307539 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31417 | BlueChoice HMO HRA Non-Integrated Compatible Gold Plan - $1,500 | HMO | 307541 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31418 | BlueChoice HMO Gold Plan - $500 | HMO | 307543 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31419 | BlueChoice HMO Referral Gold Plan - $500 | HMO | 307544 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31420 | BlueChoice HMO HRA Non-Integrated Compatible Silver Plan- $5,000 | HMO | 307545 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31421 | BlueChoice HMO Silver Plan- $5,000 | HMO | 307548 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31422 | BlueChoice HMO HRA Non-Integrated BlueFund Silver Plan- $5,000 | HMO | 307550 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31423 | BlueChoice Advantage Gold Plan - $0 | POS | 307551 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31424 | BluePreferred PPO Gold Plan - $1,500 | PPO | 307562 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31425 | BlueChoice Plus Gold Plan - $500 | POS | 307563 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31426 | BlueChoice Plus HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 307565 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31427 | BlueChoice Advantage HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 307570 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31428 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,500 | PPO | 307571 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31429 | BlueChoice Advantage HRA Non-Integrated BlueFund Gold Plan - $1,000 | POS | 307576 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31430 | BlueChoice Plus Gold Plan - $1,000 | POS | 307577 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31431 | BlueChoice Advantage Gold Plan - $500 | POS | 307584 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31432 | BluePreferred PPO Gold Plan - $1,000 | PPO | 307585 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31433 | BluePreferred PPO HRA Non-Integrated Compatible Gold Plan - $1,000 | PPO | 307586 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31434 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,500 | PPO | 307587 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31435 | BluePreferred PPO HRA Non-Integrated BlueFund Gold Plan - $1,000 | PPO | 307591 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31436 | BluePreferred PPO Gold Plan - $500 | PPO | 307592 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31437 | BlueChoice Plus HRA Non-Integrated Compatible Gold Plan - $1,000 | POS | 307593 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31438 | BlueChoice Advantage Gold Plan - $1,000 | POS | 307598 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31439 | BlueChoice Advantage HRA Non-Integrated Compatible Silver Plan- $5,000 | POS | 307599 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Platinum | 31440 | HealthyBlue Plus Platinum Plan - $500 | POS | 307601 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31441 | BlueChoice Advantage HRA Non-Integrated BlueFund Silver Plan- $5,000 | POS | 307605 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31442 | BlueChoice Advantage Silver Plan- $5,000 | POS | 307612 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31443 | BlueChoice Advantage Bronze Plan - $6,000 | POS | 307613 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31444 | BlueChoice Advantage HRA Integrated BlueFund Bronze Plan - $6,000 | POS | 307614 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31445 | BlueChoice Advantage HRA Integrated Compatible Bronze Plan - $6,000 | POS | 307615 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31446 | BlueChoice HMO HRA Integrated Compatible Bronze Plan - $6,000 | HMO | 307617 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31447 | BlueChoice HMO HRA Integrated BlueFund Bronze Plan - $6,000 | HMO | 307623 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31448 | BlueChoice HMO Bronze Plan - $6,000 | HMO | 307626 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31449 | BlueChoice HMO HRA Non-Integrated Compatible Silver Plan - $1,500 | HMO | 307628 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31450 | BlueChoice HMO Referral HRA Non-Integrated Compatible Silver Plan - $4,000 | HMO | 307630 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31451 | BlueChoice HMO HRA Non-Integrated BlueFund Silver Plan - $1,500 | HMO | 307631 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31452 | BlueChoice HMO Referral Silver Plan - $4,000 | HMO | 307634 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31453 | BlueChoice HMO Silver Plan - $1,500 | HMO | 307636 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31454 | BlueChoice HMO Referral HRA Non-Integrated BlueFund Silver Plan - $4,000 | HMO | 307637 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31455 | BlueChoice Advantage Silver Plan - $4,000 | POS | 307641 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31456 | BlueChoice Advantage HRA Non-Integrated Compatible Silver Plan - $4,000 | POS | 307648 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31457 | BluePreferred PPO Silver Plan - $1,500 | PPO | 307649 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31458 | BlueChoice Advantage HRA Non-Integrated BlueFund Silver Plan - $4,000 | POS | 307655 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31459 | BlueChoice HMO Referral HRA Integrated BlueFund Bronze Plan - $8,250 | HMO | 307656 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31460 | BlueChoice HMO Referral Bronze Plan - $8,250 | HMO | 307657 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31461 | BlueChoice HMO Referral HRA Integrated Compatible Bronze Plan - $8,250 | HMO | 307661 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31462 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $2,000 | PPO | 307662 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31463 | BluePreferred PPO HSA BlueFund Silver Plan - $2,000 | PPO | 307663 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31464 | BluePreferred PPO HDHP Silver Plan - $2,000 | PPO | 307664 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31465 | BluePreferred PPO HSA Compatible Silver Plan - $2,000 | PPO | 307665 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31466 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $2,000 | PPO | 307666 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31467 | BlueChoice Advantage HRA Integrated BlueFund Bronze Plan - $6,100 | POS | 307673 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31468 | BlueChoice Advantage HSA Compatible Bronze Plan - $6,100 | POS | 307674 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31469 | BlueChoice Advantage HSA BlueFund Silver Plan - $1,500 | POS | 307675 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31470 | BlueChoice Plus HSA Compatible Bronze Plan - $6,100 | POS | 307676 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31471 | BluePreferred PPO HSA BlueFund Silver Plan - $1,500 | PPO | 307686 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31472 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $1,500 | POS | 307687 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31473 | BlueChoice Advantage HDHP Silver Plan - $1,500 | POS | 307691 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31474 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $1,500 | POS | 307692 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31475 | BluePreferred PPO HRA Integrated BlueFund Silver Plan - $1,500 | PPO | 307693 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31476 | BluePreferred PPO HRA Integrated Compatible Silver Plan - $1,500 | PPO | 307694 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31477 | BlueChoice Plus HSA Compatible Silver Plan - $1,500 | POS | 307695 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31478 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $1,500 | POS | 307699 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31479 | BluePreferred PPO HSA Compatible Silver Plan - $1,500 | PPO | 307700 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31480 | BlueChoice Advantage HSA Compatible Silver Plan - $1,500 | POS | 307704 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31481 | BlueChoice Advantage HSA BlueFund Bronze Plan - $6,100 | POS | 307705 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31482 | BluePreferred PPO HDHP Silver Plan - $1,500 | PPO | 307706 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31483 | BlueChoice Advantage HDHP Bronze Plan - $6,100 | POS | 307712 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31484 | BlueChoice Advantage HRA Integrated Compatible Bronze Plan - $6,100 | POS | 307713 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31485 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $1,500 | POS | 307725 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31486 | BlueChoice Plus HRA Integrated Compatible Bronze Plan - $6,100 | POS | 307726 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31487 | BlueChoice Plus HSA BlueFund Bronze Plan - $6,100 | POS | 307727 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31488 | BlueChoice Plus HDHP Bronze Plan - $6,100 | POS | 307733 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31489 | BlueChoice Plus HRA Integrated BlueFund Bronze Plan - $6,100 | POS | 307734 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31490 | BlueChoice Plus HDHP Silver Plan - $1,500 | POS | 307735 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31491 | BlueChoice Plus HSA BlueFund Silver Plan - $1,500 | POS | 307736 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31492 | BlueChoice Advantage HSA Compatible Silver Plan - $3,000 | POS | 307745 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31493 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $2,000 | POS | 307746 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31494 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $3,000 | POS | 307753 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31495 | BlueChoice Advantage HDHP Silver Plan - $2,000 | POS | 307754 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31496 | BlueChoice Advantage HSA BlueFund Silver Plan - $2,000 | POS | 307764 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31497 | BlueChoice Plus HSA BlueFund Silver Plan - $3,000 | POS | 307765 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31498 | BlueChoice Advantage HRA Integrated Compatible Silver Plan - $3,000 | POS | 307770 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31499 | BlueChoice Advantage HRA Integrated BlueFund Silver Plan - $2,000 | POS | 307771 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31500 | BlueChoice Advantage HSA BlueFund Silver Plan - $3,000 | POS | 307777 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31501 | BlueChoice Advantage HSA Compatible Silver Plan - $2,000 | POS | 307778 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31502 | BlueChoice Plus HDHP Silver Plan - $3,000 | POS | 307779 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31503 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $3,000 | POS | 307780 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31504 | BlueChoice Advantage HDHP Silver Plan - $3,000 | POS | 307789 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31505 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $3,000 | POS | 307790 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31506 | BlueChoice Plus HSA Compatible Silver Plan - $3,000 | POS | 307791 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31507 | BlueChoice HMO HRA Integrated BlueFund Bronze Plan - $6,100 | HMO | 307808 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31508 | BlueChoice HMO HSA BlueFund Silver Plan - $1,500 | HMO | 307809 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31509 | BlueChoice HMO HDHP Silver Plan - $3,000 | HMO | 307810 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31510 | BlueChoice HMO HSA Compatible Silver Plan - $1,500 | HMO | 307812 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31511 | BlueChoice HMO HDHP Silver Plan - $1,500 | HMO | 307813 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31512 | BlueChoice HMO HSA BlueFund Silver Plan - $2,000 | HMO | 307814 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31513 | BlueChoice HMO HSA BlueFund Silver Plan - $3,000 | HMO | 307815 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31514 | BlueChoice HMO HSA BlueFund Bronze Plan - $6,100 | HMO | 307816 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31515 | BlueChoice HMO HSA Compatible Silver Plan - $3,000 | HMO | 307817 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31516 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,000 | HMO | 307818 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31517 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $3,000 | HMO | 307821 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31518 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $1,500 | HMO | 307826 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31519 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $1,500 | HMO | 307827 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31520 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $3,000 | HMO | 307830 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31521 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,000 | HMO | 307831 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31522 | BlueChoice HMO HDHP Silver Plan - $2,000 | HMO | 307832 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31523 | BlueChoice HMO HDHP Bronze Plan - $6,100 | HMO | 307833 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31524 | BlueChoice HMO HRA Integrated Compatible Bronze Plan - $6,100 | HMO | 307834 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31525 | BlueChoice HMO HSA Compatible Bronze Plan - $6,100 | HMO | 307835 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31526 | BlueChoice HMO HSA Compatible Silver Plan - $2,000 | HMO | 307836 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31527 | BlueChoice HMO HDHP Gold Plan - $1,500 | HMO | 307843 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31528 | BlueChoice HMO HSA Compatible Gold Plan - $1,500 | HMO | 307844 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31529 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,500 | HMO | 307846 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31530 | BlueChoice HMO HSA BlueFund Gold Plan - $1,500 | HMO | 307847 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31531 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,500 | HMO | 307849 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Platinum | 31532 | HealthyBlue Advantage Platinum Plan - $500 | POS | 307850 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Platinum | 31533 | BlueChoice Advantage 90%/70% Platinum Plan SE | POS | 307851 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Platinum | 31534 | BlueChoice Advantage 90%/70% Platinum Plan | POS | 307852 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31535 | BlueChoice HMO HSA BlueFund 90 Bronze Plan - $6,500 | HMO | 307860 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31536 | BlueChoice HMO HSA BlueFund 90 Gold Plan - $1,500 | HMO | 307861 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31537 | BluePreferred PPO 90/70 Gold Plan - $1,000 SE | PPO | 307862 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31538 | BluePreferred PPO HRA Integrated Compatible 90/70 Gold Plan - $1,000 SE | PPO | 307867 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31539 | BlueChoice Advantage HSA BlueFund 90 Gold Plan - $1,500 | POS | 307869 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31540 | BlueChoice HMO HRA Integrated Compatible 90 Bronze Plan - $6,500 | HMO | 307871 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31541 | BlueChoice Advantage HRA Integrated BlueFund 90 Gold Plan - $1,500 | POS | 307872 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31542 | BluePreferred PPO HRA Integrated Compatible 90/70 Gold Plan - $1,000 | PPO | 307873 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31543 | BlueChoice Advantage HDHP 90 Gold Plan - $1,500 | POS | 307878 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31544 | BlueChoice Advantage HRA Integrated Compatible 90 Gold Plan - $1,500 | POS | 307879 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31545 | BlueChoice HMO HDHP 90 Bronze Plan - $6,500 | HMO | 307880 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31546 | BlueChoice HMO HRA Integrated Compatible 90 Gold Plan - $1,500 | HMO | 307881 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31547 | BluePreferred PPO HRA Integrated BlueFund 90/70 Gold Plan - $1,000 | PPO | 307882 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31548 | BlueChoice Advantage HSA Compatible 90 Gold Plan - $1,500 | POS | 307885 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31549 | BlueChoice HMO HSA Compatible 90 Gold Plan - $1,500 | HMO | 307886 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31550 | BluePreferred PPO HRA Integrated BlueFund 90/70 Gold Plan - $1,000 SE | PPO | 307887 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31551 | BlueChoice HMO HRA Integrated BlueFund 90 Bronze Plan - $6,500 | HMO | 307892 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31552 | BlueChoice HMO HSA Compatible 90 Bronze Plan - $6,500 | HMO | 307893 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31553 | BlueChoice HMO HDHP 90 Gold Plan - $1,500 | HMO | 307897 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31554 | BlueChoice HMO HRA Integrated BlueFund 90 Gold Plan - $1,500 | HMO | 307898 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31555 | BluePreferred PPO 90/70 Gold Plan - $1,000 | PPO | 307899 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31556 | BlueChoice HMO HDHP Silver Plan - $2,400 | HMO | 307901 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31557 | BlueChoice HMO HSA BlueFund Silver Plan - $2,400 SE | HMO | 307902 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31558 | BlueChoice HMO HSA Compatible Silver Plan - $2,400 | HMO | 307903 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31559 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 SE | HMO | 307904 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31560 | BlueChoice HMO HDHP Gold Plan - $1,000 | HMO | 307905 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31561 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 | HMO | 307906 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31562 | BluePreferred PPO HSA Compatible 80/60 Silver Plan - $2,400 | PPO | 307907 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31563 | BlueChoice HMO HDHP Silver Plan - $2,400 SE | HMO | 307911 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31564 | BluePreferred PPO HRA Integrated Compatible 80/60 Silver Plan - $2,400 | PPO | 307912 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31565 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,400 | HMO | 307915 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31566 | BlueChoice HMO HRA Integrated BlueFund Silver Plan - $2,400 SE | HMO | 307916 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31567 | BluePreferred PPO HSA BlueFund 80/60 Silver Plan - $2,400 SE | PPO | 307917 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31568 | BluePreferred PPO HRA Integrated BlueFund 80/60 Silver Plan - $2,400 | PPO | 307921 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31569 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,400 SE | HMO | 307924 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31570 | BlueChoice HMO HRA Integrated BlueFund Gold Plan - $1,000 | HMO | 307925 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31571 | BluePreferred PPO HSA Compatible 80/60 Silver Plan - $2,400 SE | PPO | 307926 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31572 | BluePreferred PPO HDHP 80/60 Silver Plan - $2,400 | PPO | 307927 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31573 | BlueChoice HMO HRA Integrated Compatible Silver Plan - $2,400 | HMO | 307930 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31574 | BlueChoice HMO HSA BlueFund Silver Plan - $2,400 | HMO | 307931 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31575 | BlueChoice HMO HSA Compatible Silver Plan - $2,400 SE | HMO | 307932 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31576 | BluePreferred PPO HRA Integrated Compatible 80/60 Silver Plan - $2,400 SE | PPO | 307933 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31577 | BluePreferred PPO HSA BlueFund 80/60 Silver Plan - $2,400 | PPO | 307936 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31578 | BlueChoice HMO HRA Integrated Compatible Gold Plan - $1,000 SE | HMO | 307937 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31579 | BlueChoice HMO Gold Plan - $1,000 SE | HMO | 307941 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31580 | BluePreferred PPO HDHP 80/60 Silver Plan - $2,400 SE | PPO | 307942 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31581 | BluePreferred PPO HRA Integrated BlueFund 80/60 Silver Plan - $2,400 SE | PPO | 307943 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31582 | BlueChoice HMO HRA Integrated BlueFund 70 Silver Plan - $2,100 | HMO | 307952 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31583 | BlueChoice HMO HSA Compatible 70 Silver Plan - $2,100 | HMO | 307953 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31584 | BlueChoice HMO HRA Integrated BlueFund 70 Silver Plan - $3,000 | HMO | 307954 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31585 | BluePreferred PPO HDHP 70 Silver Plan - $2,100 | PPO | 307955 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31586 | BlueChoice HMO HSA BlueFund 70 Silver Plan - $2,100 | HMO | 307962 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31587 | BluePreferred PPO HSA Compatible 70 Silver Plan - $2,100 | PPO | 307963 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31588 | BlueChoice Advantage HSA Compatible 70 Silver Plan - $3,000 | POS | 307969 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31589 | BlueChoice HMO HRA Integrated Compatible 70 Silver Plan - $2,100 | HMO | 307974 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31590 | BlueChoice Advantage HRA Integrated BlueFund 70 Silver Plan - $2,100 | POS | 307981 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31591 | BlueChoice Advantage HRA Integrated Compatible 70 Silver Plan - $2,100 | POS | 307982 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31592 | BlueChoice Advantage HSA BlueFund 70 Silver Plan - $2,100 | POS | 307983 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31593 | BlueChoice Advantage HSA Compatible 70 Silver Plan - $2,100 | POS | 307984 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31594 | BlueChoice Advantage HDHP 70 Silver Plan - $3,000 | POS | 307985 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31595 | BlueChoice HMO HDHP 70 Silver Plan - $3,000 | HMO | 307986 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31596 | BlueChoice HMO HRA Integrated Compatible 70 Silver Plan - $3,000 | HMO | 307987 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31597 | BlueChoice Advantage HRA Integrated BlueFund 70 Silver Plan - $3,000 | POS | 307993 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31598 | BlueChoice HMO HDHP 70 Silver Plan - $2,100 | HMO | 307994 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31599 | BlueChoice Advantage HDHP 70 Silver Plan - $2,100 | POS | 307997 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31600 | BlueChoice Advantage HSA BlueFund 70 Silver Plan - $3,000 | POS | 307998 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31601 | BlueChoice HMO HSA BlueFund 70 Silver Plan - $3,000 | HMO | 307999 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31602 | BlueChoice HMO HSA Compatible 70 Silver Plan - $3,000 | HMO | 308000 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31603 | BluePreferred PPO HRA Integrated BlueFund 70 Silver Plan - $2,100 | PPO | 308001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31604 | BlueChoice Advantage HRA Integrated Compatible 70 Silver Plan - $3,000 | POS | 308006 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31605 | BluePreferred PPO HSA BlueFund 70 Silver Plan - $2,100 | PPO | 308007 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31606 | BluePreferred PPO HRA Integrated Compatible 70 Silver Plan - $2,100 | PPO | 308008 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31607 | BlueChoice Advantage HRA Integrated BlueFund Gold Plan - $1,500 | POS | 308028 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31608 | BlueChoice Advantage HDHP Gold Plan - $1,500 | POS | 308032 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31609 | BlueChoice Advantage HRA Integrated Compatible Gold Plan - $1,500 | POS | 308033 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31610 | BlueChoice Advantage HSA BlueFund Gold Plan - $1,500 | POS | 308034 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Gold | 31611 | BlueChoice Advantage HSA Compatible Gold Plan - $1,500 | POS | 308037 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31612 | BlueChoice Plus HRA Integrated BlueFund Silver Plan - $2,500 | POS | 308039 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31613 | BlueChoice Plus HRA Integrated Compatible Silver Plan - $2,500 | POS | 308040 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31614 | BlueChoice Plus HSA BlueFund Silver Plan - $2,500 | POS | 308041 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31615 | BlueChoice Plus HDHP Silver Plan - $2,500 | POS | 308045 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Silver | 31616 | BlueChoice Plus HSA Compatible Silver Plan - $2,500 | POS | 308049 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | CAF | |
| VA | M | Bronze | 31617 | VA IH Bronze PPO 6000 80/50 E | PPO | 288792 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| VA | M | Gold | 31618 | VA IH Gold Designated PCP PPO 2000 80/50 E | PPO | 288794 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| VA | M | Platinum | 31619 | VA IH Platinum Performance PPO 100/80/50 350 A | PPO | 288800 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| VA | M | Gold | 31620 | VA IH Gold Open HMO 1000 100% E | HMO | 288797 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| VA | M | Silver | 31621 | VA IH Silver Designated PCP PPO 4500 70/50 E | PPO | 288802 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| VA | M | Gold | 31622 | VA IH Gold Designated PPO 100/50 500A E | PPO | 288796 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| VA | M | Silver | 31623 | VA IH Silver Designated PCP PPO 3500 100/50 HSAT | PPO | 288801 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| VA | M | Silver | 31624 | VA IH Silver PPO 3250 80/50 E | PPO | 288804 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| VA | M | Gold | 31625 | VA IH Gold Open HMO 1650 100% HSA T | HMO | 288798 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| VA | M | Silver | 31626 | VA IH Silver Open HMO 4000 80% E | HMO | 288803 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| VA | M | Gold | 31627 | VA IH Gold Designated PCP PPO 1000 80/50 E | PPO | 288793 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| VA | M | Gold | 31628 | VA IH Gold Designated PCP PPO 2000 90/50 HSAT | PPO | 288795 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| VA | M | Platinum | 31629 | VA IH Platinum Performance Open HMO 100/80 350A | HMO | 288799 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | AET | |
| MD | M | Gold | 31630 | KP MD Gold 1000/20/Vision - SIG | HMO | 90296MD0590005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Gold | 31631 | KP MD Gold Added Choice 1000/20/POS/Vision - SEL | POS | 90296MD0600005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Gold | 31632 | KP MD Gold 1000/20/Vision - SEL | HMO | 90296MD0590019 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Gold | 31633 | KP MD Gold Added Choice 1000/20/POS/Vision - SIG | POS | 90296MD0600001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Gold | 31634 | KP MD Gold 1500/20/Vision - SEL | HMO | 90296MD0590036 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Gold | 31635 | KP MD Gold 1500/20/Vision - SIG | HMO | 90296MD0590035 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Gold | 31636 | KP MD Gold DHMO Plus 1500/20/Vision - SIG | HMO | 90296MD0590037 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Gold | 31637 | KP MD Gold Flexible Choice 1000/20/3TPOS/Vision - SIG | POS | 90296MD0600007 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Gold | 31638 | KP MD Gold Flexible Choice 0/20/3TPOS/Vision - SIG | POS | 90296MD0600008 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Silver | 31639 | KP MD Silver 1850/40/Vision - SEL | HMO | 90296MD0590022 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Silver | 31640 | KP MD Silver 2500/40/Vision - SEL | HMO | 90296MD0590023 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Silver | 31641 | KP MD Silver Added Choice 2500/40/POS/Vision - SIG | POS | 90296MD0600002 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Silver | 31642 | KP MD Silver 1850/40/Vision - SIG | HMO | 90296MD0590008 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Silver | 31643 | KP MD Silver 2500/40/Vision - SIG | HMO | 90296MD0590009 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Silver | 31644 | KP MD Silver DHMO Plus 1850/40/Vision - SIG | HMO | 90296MD0590038 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Silver | 31645 | KP MD Silver Added Choice 2500/40/POS/Vision - SEL | POS | 90296MD0600006 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Silver | 31646 | KP MD Silver 4000/40/Vision - SEL | HMO | 90296MD0590040 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Silver | 31647 | KP MD Silver 4000/40/Vision - SIG | HMO | 90296MD0590039 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Silver | 31648 | KP MD Silver DHMO Plus 4000/40/Vision - SIG | HMO | 90296MD0590041 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Bronze | 31649 | KP MD Bronze Added Choice 6500/50/POS/Vision - SEL | POS | 90296MD0600004 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Bronze | 31650 | KP MD Bronze 6500/50/Vision - SIG | HMO | 90296MD0590012 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Bronze | 31651 | KP MD Bronze 6500/50/Vision - SEL | HMO | 90296MD0590026 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Bronze | 31652 | KP MD Bronze DHMO Plus 6500/50/Vision - SIG | HMO | 90296MD0590042 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Bronze | 31653 | KP MD Bronze Added Choice 6500/50/POS/Vision - SIG | POS | 90296MD0600003 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Platinum | 31654 | KP MD Platinum 500/20/Vision - SIG | HMO | 90296MD0590002 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Platinum | 31655 | KP MD Platinum 500/20/Vision - SEL | HMO | 90296MD0590016 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Gold | 31656 | KP MD Gold 500/20/Vision - SEL | HMO | 90296MD0590030 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Gold | 31657 | KP MD Gold 500/20/Vision - SIG | HMO | 90296MD0590029 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Bronze | 31658 | KP MD Bronze 6850/0%/HSA/Vision - SIG | HMO | 90296MD0590013 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Bronze | 31659 | KP MD Bronze 6850/0%/HSA/Vision - SEL | HMO | 90296MD0590027 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Platinum | 31660 | KP MD Platinum 0/10/Vision - SEL | HMO | 90296MD0590015 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Platinum | 31661 | KP MD Platinum HMO Plus 0/10/Vision - SIG | HMO | 90296MD0590033 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Platinum | 31662 | KP MD Platinum 0/10/Vision - SIG | HMO | 90296MD0590001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Gold | 31663 | KP MD Gold HMO Plus 0/20/Vision - SIG | HMO | 90296MD0590034 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Gold | 31664 | KP MD Gold 0/20/Vision - SEL | HMO | 90296MD0590018 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Gold | 31665 | KP MD Gold 0/20/Vision - SIG | HMO | 90296MD0590004 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Gold | 31666 | KP MD Gold 1400/0%/HSA/Vision - SEL | HMO | 90296MD0590020 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Gold | 31667 | KP MD Gold 1400/0%/HSA/Vision - SIG | HMO | 90296MD0590006 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Bronze | 31668 | KP MD Bronze 6150/30/HSA/Vision - SIG | HMO | 90296MD0590014 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Bronze | 31669 | KP MD Bronze 6150/30/HSA/Vision - SEL | HMO | 90296MD0590028 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Gold | 31670 | KP MD Gold Flexible Choice 1400/0%/HSA/3TPOS/Vision - SIG | POS | 90296MD0600012 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Silver | 31671 | KP MD Silver 3000/30/HSA/Vision - SIG | HMO | 90296MD0590011 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Silver | 31672 | KP MD Silver 4000/30/HSA/Vision - SIG | HMO | 90296MD0590031 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Silver | 31673 | KP MD Silver 3000/30/HSA/Vision - SEL | HMO | 90296MD0590025 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Silver | 31674 | KP MD Silver 4000/30/HSA/Vision - SEL | HMO | 90296MD0590032 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Silver | 31675 | KP MD Silver 2000/30/HSA/Vision - SEL | HMO | 90296MD0590024 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Silver | 31676 | KP MD Silver 2000/30/HSA/Vision - SIG | HMO | 90296MD0590010 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Gold | 31677 | KP MD Gold Virtual Forward 2000 - SIG | HMO | 90296MD0590043 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| MD | M | Silver | 31678 | KP MD Silver Virtual Forward 3000 - SIG | HMO | 90296MD0590044 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31679 | KP VA Gold DHMO Plus 1500/20/Vision - SIG | HMO | 95185VA0510037 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31680 | KP VA Gold 1500/20/Vision - SIG | HMO | 95185VA0510035 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31681 | KP VA Gold 1500/20/Vision - SEL | HMO | 95185VA0510036 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31682 | KP VA Gold Flexible Choice 1000/30/3TPOS/Vision - SIG | POS | 95185VA0520007 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31683 | KP VA Gold Flexible Choice 500/20/3TPOS/Vision - SIG | POS | 95185VA0520008 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Silver | 31684 | KP VA Silver Added Choice 2750/30/POS/Vision - SEL | POS | 95185VA0520006 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Silver | 31685 | KP VA Silver 2750/30/POS/Vision - SIG | POS | 95185VA0520003 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Silver | 31686 | KP VA Silver 2750/30/Vision - SIG | HMO | 95185VA0510009 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Silver | 31687 | KP VA Silver 2750/30/Vision - SEL | HMO | 95185VA0510023 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Silver | 31688 | KP VA Silver 1750/40/Vision - SIG | HMO | 95185VA0510008 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Silver | 31689 | KP VA Silver DHMO Plus 1750/40/Vision - SIG | HMO | 95185VA0510038 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Silver | 31690 | KP VA Silver 1750/40/Vision - SEL | HMO | 95185VA0510022 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Bronze | 31691 | KP VA Bronze 6500/50/Vision - SEL | HMO | 95185VA0510026 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Bronze | 31692 | KP VA Bronze DHMO Plus 6500/50/Vision - SIG | HMO | 95185VA0510039 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Bronze | 31693 | KP VA Bronze 6500/50/Vision - SIG | HMO | 95185VA0510012 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Platinum | 31694 | KP VA Platinum 500/20/Vision - SEL | HMO | 95185VA0510016 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31695 | KP VA Gold Added Choice 1000/20/POS/Vision - SEL | POS | 95185VA0520005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31696 | KP VA Gold 1000/20/Vision - SEL | HMO | 95185VA0510019 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31697 | KP VA Gold 0/20/Vision - SEL | HMO | 95185VA0510018 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31698 | KP VA Gold Added Choice 0/20/POS/Vision - SEL | POS | 95185VA0520004 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Platinum | 31699 | KP VA Platinum 0/15/Vision - SIG | HMO | 95185VA0510001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Platinum | 31700 | KP VA Platinum HMO Plus 0/15/Vision - SIG | HMO | 95185VA0510033 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31701 | KP VA Gold 0/20/Vision - SIG | HMO | 95185VA0510004 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31702 | KP VA Gold HMO Plus 0/20/Vision - SIG | HMO | 95185VA0510034 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31703 | KP VA Gold Added Choice 0/20/POS/Vision - SIG | POS | 95185VA0520001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Platinum | 31704 | KP VA Platinum 500/20/Vision - SIG | HMO | 95185VA0510002 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31705 | KP VA Gold 500/20/Vision - SIG | HMO | 95185VA0510029 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31706 | KP VA Gold 1000/20/Vision - SIG | HMO | 95185VA0510005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31707 | KP VA Gold Added Choice 1000/20/POS/Vision - SIG | POS | 95185VA0520002 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Platinum | 31708 | KP VA Platinum 0/15/Vision - SEL | HMO | 95185VA0510015 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31709 | KP VA Gold 500/20/Vision - SEL | HMO | 95185VA0510030 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Silver | 31710 | KP VA Silver 3000/30/HSA/Vision - SIG | HMO | 95185VA0510011 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Silver | 31711 | KP VA Silver 4000/0%/HSA/Vision - SIG | HMO | 95185VA0510031 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Bronze | 31712 | KP VA Bronze 6000/30/20%/HSA/Vision - SIG | HMO | 95185VA0510014 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31713 | KP VA Gold 1400/0%/HSA/Vision - SEL | HMO | 95185VA0510020 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Silver | 31714 | KP VA Silver 2000/30/HSA/Vision - SEL | HMO | 95185VA0510024 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Silver | 31715 | KP VA Silver 4000/0%/HSA/Vision - SEL | HMO | 95185VA0510032 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Bronze | 31716 | KP VA Bronze 6850/0%/HSA/Vision - SEL | HMO | 95185VA0510027 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Silver | 31717 | KP VA Silver 2000/30/HSA/Vision - SIG | HMO | 95185VA0510010 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Bronze | 31718 | KP VA Bronze 8700/0%/Vision - SIG | HMO | 95185VA0510040 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Bronze | 31719 | KP VA Bronze 6850/0%/HSA/Vision - SIG | HMO | 95185VA0510013 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Bronze | 31720 | KP VA Bronze 6000/30/20%/HSA/Vision - SEL | HMO | 95185VA0510028 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31721 | KP VA Gold 1400/0%/HSA/Vision - SIG | HMO | 95185VA0510006 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Bronze | 31722 | KP VA Bronze 8700/0%/Vision - SEL | HMO | 95185VA0510041 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Silver | 31723 | KP VA Silver 3000/30/HSA/Vision - SEL | HMO | 95185VA0510025 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31724 | KP VA Gold Virtual Forward 2000 - SIG | HMO | 95185VA0510042 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Gold | 31725 | KP VA Gold Flexible Choice 0/20/3TPOS/Vision - SIG | POS | 95185VA0520010 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| VA | M | Silver | 31726 | KP VA Silver Virtual Forward 3000 - SIG | HMO | 95185VA0510043 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | KAI | |
| DC | M | Platinum | 31727 | UHC Choice Platinum 250 (CMU7) K43S | EPO | 41842DC0070012 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Platinum | 31728 | UHC Choice Plus Platinum 250 (CMU8) K43S | POS | 41842DC0080014 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Platinum | 31729 | UHC OCI Platinum 250 (CMUE) K07S | HMO | 75753DC0030013 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31730 | UHC Choice Gold 1500-1 (CMUW) K43Y | EPO | 41842DC0070008 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31731 | UHC Choice Plus Gold 1500-1 (CMUX) K43Y | POS | 41842DC0080009 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Platinum | 31732 | UHC Choice Platinum 0 (CMU9) K43S | EPO | 41842DC0070013 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31733 | UHC Choice Gold 1500-3 (CMU5) K43Y | EPO | 41842DC0070011 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31734 | UHC Choice Plus Gold 1500-3 (CMU6) K43Y | POS | 41842DC0080013 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31735 | UHC OCI Gold 2000 (CMUD) K07Y | HMO | 75753DC0030012 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31736 | UHC Choice Plus Gold 750 (CMUU) K43Y | POS | 41842DC0080008 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Platinum | 31737 | UHC OCI Platinum 0 (CMUF) K07S | HMO | 75753DC0030014 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Platinum | 31738 | UHC Choice Plus Platinum 0-3 (CMVA) K43S | POS | 41842DC0080015 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31739 | UHC Choice Plus Gold 0-1 (CMUO) K42L | POS | 41842DC0080004 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31740 | UHC Choice Gold 2000 (CMU2) K08Y | EPO | 41842DC0070010 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31741 | UHC Choice Plus Gold 2000 (CMU3) K08Y | POS | 41842DC0080011 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Silver | 31742 | UHC OCI Silver 5000-2 (CMUH) K08Y | HMO | 75753DC0030015 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Silver | 31743 | UHC OCI Silver 6750 (CMUI) K05Y | HMO | 75753DC0030016 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31744 | UHC Choice Plus Gold 3000 (CMU4) K05Y | POS | 41842DC0080012 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31745 | UHC OCI Gold 1500 (CMUA) K05Y | HMO | 75753DC0030009 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31746 | UHC OCI Gold 2500 (CMUB) K05Y | HMO | 75753DC0030010 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31747 | UHC OCI Gold 3500 (CMUC) K05Y | HMO | 75753DC0030011 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31748 | UHC Choice Gold 1500-2 (CMUY) K05Y | EPO | 41842DC0070009 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Silver | 31749 | UHC Choice Silver 3500 (CMVF) K08Y | EPO | 41842DC0070014 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Silver | 31750 | UHC Choice Plus Silver 3500 (CMVG) K08Y | POS | 41842DC0080017 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31751 | UHC Choice Plus Gold 1500-2 (CMUZ) K05Y | POS | 41842DC0080010 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Silver | 31752 | UHC Choice Plus Silver 5500 (CMVE) K05Y | POS | 41842DC0080016 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31753 | UHC Choice Plus Gold 2020 (CMUP) K08Y | POS | 41842DC0080005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Platinum | 31754 | UHC Choice Plus Platinum 0-2 (CMUS) K43S | POS | 41842DC0080007 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31755 | UHC OCI Gold 500 (CMT6) K10L | HMO | 75753DC0030005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Platinum | 31756 | UHC OCI Platinum 500 (CMT7) K10 | HMO | 75753DC0030006 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Silver | 31757 | UHC OCI Silver 5000-1 (CMT8) K10L | HMO | 75753DC0030007 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31758 | UHC OCI Gold 0 (CMT9) K07Y | HMO | 75753DC0030008 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31759 | UHC Core Essential Gold 750 (CMUV) K43Y | HMO | 21066DC0040010 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31760 | UHC Navigate Gold 750 (CMVK) K43Y | HMO | 21066DC0050010 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31761 | UHC Choice Gold 500 (CMUQ) K10L | EPO | 41842DC0070005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Platinum | 31762 | UHC Choice Plus Platinum 0-1 (CMUR) K33S | POS | 41842DC0080006 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Platinum | 31763 | UHC Choice Platinum 500 (CMUT) K10 | EPO | 41842DC0070006 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31764 | UHC Choice Gold 0 (CMVH) K43Y | EPO | 41842DC0040057 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31765 | UHC Choice Plus Gold 0-2 (CMVI) K43Y | POS | 41842DC0010078 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Bronze | 31766 | UHC OCI HSA Bronze 7000 (CMT4) E83L | HMO | 75753DC0030002 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31767 | UHC OCI HSA Gold 1600 (CMT5) K07Y | HMO | 75753DC0030001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Silver | 31768 | UHC OCI Silver 2000 (CMUJ) K09L | HMO | 75753DC0030004 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Bronze | 31769 | UHC Choice HSA Bronze 7000 (CMUK) E83L | EPO | 41842DC0070004 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Bronze | 31770 | UHC Core Essential HSA Bronze 7000 (CMUL) E83L | HMO | 21066DC0040001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31771 | UHC Choice HSA Gold 1600 (CMUM) K43Y | EPO | 41842DC0070007 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Gold | 31772 | UHC Choice Plus HSA Gold 1600 (CMUN) K43Y | POS | 41842DC0080001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Silver | 31773 | UHC OCI HSA Silver 2500 (CMUG) K07Y | HMO | 75753DC0030003 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Silver | 31774 | UHC Choice HSA Silver 2500 (CMVB) K43Y | EPO | 41842DC0070003 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Silver | 31775 | UHC Choice Plus HSA Silver 2500 (CMVC) K43Y | POS | 41842DC0080003 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Silver | 31776 | UHC Core Essential HSA Silver 2500 (CMVD) K43Y | HMO | 21066DC0040011 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Silver | 31777 | UHC Navigate HSA Silver 2500 (CMVL) K43Y | HMO | 21066DC0050007 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| DC | M | Bronze | 31778 | UHC Navigate HSA Bronze 7000 (CMVJ) E83L | HMO | 21066DC0050001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Bronze | 31779 | UHC OCI HSA Bronze 7000-1 (CMFX) E83L | HMO | 72375MD0060001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Bronze | 31780 | UHC Navigate HSA Bronze 7000-1 (CMIZ) E83L | HMO | 31112MD0050026 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Bronze | 31781 | UHC Core Essential HSA Bronze 7000-1 (CMHR) E83L | HMO | 31112MD0040015 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Bronze | 31782 | UHC Choice Plus HSA Bronze 7000-1 (CMHP) E83L | POS | 23620MD0060003 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Bronze | 31783 | UHC Choice HSA Bronze 7000-1 (CMFV) E83L | EPO | 65635MD0060001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31784 | UHC Choice Gold 3000 (CMGO) K05Y | EPO | 65635MD0060018 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31785 | UHC Choice Plus Gold 3000 (CMIB) K05Y | POS | 23620MD0060017 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31786 | UHC OCI Gold 1500-1 (CMGK) K05Y | HMO | 72375MD0060016 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31787 | UHC Navigate Gold 2500 (CMI8) K05Y | HMO | 31112MD0050019 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31788 | UHC Choice Plus Gold 2500-2 (CMH7) K05Y | POS | 23620MD0060014 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31789 | UHC Core Essential Gold 2500 (CMH8) K05Y | HMO | 31112MD0040005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31790 | UHC Choice Gold 1500-1 (CMGI) K05Y | EPO | 65635MD0060015 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31791 | UHC Choice Gold 2500 (CMGL) K05Y | EPO | 65635MD0060016 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31792 | UHC Choice Plus Gold 1500-2 (CMH6) K05Y | POS | 23620MD0060013 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31793 | UHC OCI Gold 3500-1 (CMGP) K05Y | HMO | 72375MD0060017 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31794 | UHC Choice Silver 5000-2 (CMHD) K05Y | EPO | 65635MD0060022 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31795 | UHC Navigate Silver 7000 (CMJC) K05Y | HMO | 31112MD0050023 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31796 | UHC OCI Silver 6750 (CMHK) K05Y | HMO | 72375MD0060022 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31797 | UHC Navigate Silver 5000-2 (CMJB) K05Y | HMO | 31112MD0050022 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31798 | UHC Core Essential Silver 5000-1 (CMIP) K05Y | HMO | 31112MD0040007 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31799 | UHC Core Essential Silver 7000 (CMIU) K05Y | HMO | 31112MD0040009 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31800 | UHC Choice Plus Silver 5000-1 (CMIO) K05Y | POS | 23620MD0060022 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Platinum | 31801 | UHC OCI Platinum 0-3 (CMG4) K07S | HMO | 72375MD0060020 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Platinum | 31802 | UHC Choice Platinum 0-3 (CMG2) K07S | EPO | 65635MD0060021 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Platinum | 31803 | UHC Choice Plus Platinum 0-3 (CMIE) K07S | POS | 23620MD0060019 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Platinum | 31804 | UHC OCI Platinum 0-1 (CMGY) K07S | HMO | 72375MD0060019 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Platinum | 31805 | UHC Choice Plus Platinum 0-1 (CMGW) K07S | POS | 65635MD0070003 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Platinum | 31806 | UHC Choice Plus Platinum 0-5 (CMIH) K07S | POS | 23620MD0060021 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Platinum | 31807 | UHC Choice Plus Platinum 750 (CMIG) K07S | POS | 23620MD0060020 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Platinum | 31808 | UHC Choice Platinum 750 (CMGV) K07S | EPO | 65635MD0060020 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31809 | UHC Choice Plus HSA Gold 2250-1 (CMHV) K07Y | POS | 23620MD0060007 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31810 | UHC Choice HSA Gold 2250-1 (CMF3) K07Y | EPO | 65635MD0060005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31811 | UHC OCI HSA Gold 2250-1 (CMF5) K07Y | HMO | 72375MD0060008 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31812 | UHC Core Essential HSA Gold 2250-1 (CMHW) K07Y | HMO | 31112MD0040013 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31813 | UHC Choice HSA Gold 1500 (CMGN) K07Y | EPO | 65635MD0060009 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31814 | UHC Choice Plus Gold 1000 (CMGD) K07Y | POS | 65635MD0070002 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31815 | UHC Core Essential Gold 750-1 (CMHY) K07Y | HMO | 31112MD0040014 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31816 | UHC Navigate Gold 750-1 (CMI5) K07Y | HMO | 31112MD0050030 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31817 | UHC Choice Plus Gold 750-1 (CMH2) K07Y | POS | 23620MD0060011 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31818 | UHC Choice Plus Gold 0 (CMH5) K07Y | POS | 23620MD0020067 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31819 | UHC Choice Gold 0 (CMGG) K07Y | EPO | 65635MD0050022 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31820 | UHC Choice Plus Gold 1500-1 (CMH4) K07Y | POS | 23620MD0060012 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31821 | UHC OCI Gold 750-1 (CMGE) K07Y | HMO | 72375MD0060015 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31822 | UHC OCI Gold 0 (CMGH) K07Y | HMO | 72375MD0010019 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31823 | UHC OCI HSA Silver 4000 (CMHC) K07Y | HMO | 72375MD0060010 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31824 | UHC Choice HSA Silver 4000 (CMHB) K07Y | EPO | 65635MD0060010 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31825 | UHC Choice Plus HSA Silver 4000 (CMIN) K07Y | POS | 23620MD0060009 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31826 | UHC Navigate HSA Silver 2500-1 (CMJA) K07Y | HMO | 31112MD0050021 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31827 | UHC Core Essential HSA Silver 2500-1 (CMIK) K07Y | HMO | 31112MD0040012 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31828 | UHC OCI HSA Silver 2500-1 (CMG8) K07Y | HMO | 72375MD0060003 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31829 | UHC Core HSA Silver 2500 (CMIM) K07Y | POS | 31112MD0020006 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31830 | UHC OCI Preferred HSA Silver 2500 (CMHA) K07Y | POS | 72375MD0080001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31831 | UHC Choice Plus HSA Silver 2500-1 (CMII) K07Y | POS | 23620MD0060001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31832 | UHC Choice HSA Silver 2500-1 (CMG6) K07Y | EPO | 65635MD0060007 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31833 | UHC Choice Plus HSA Gold 1600 (CMFP) K07Y | POS | 65635MD0070001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31834 | UHC Choice Plus HSA Gold 1600-5 (CMHT) K07Y | POS | 23620MD0060005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31835 | UHC Navigate HSA Gold 1600-1 (CMI3) K07Y | HMO | 31112MD0050028 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31836 | UHC Choice HSA Gold 1600-1 (CMFZ) K07Y | EPO | 65635MD0060003 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31837 | UHC OCI HSA Gold 1600 (CMFQ) K07Y | HMO | 72375MD0060007 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31838 | UHC Choice Plus HSA Silver 4500 (CMIT) K07Y | POS | 23620MD0060010 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31839 | UHC OCI HSA Silver 4500 (CMHJ) K07Y | HMO | 72375MD0060011 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31840 | UHC Choice HSA Silver 4500 (CMHI) K07Y | EPO | 65635MD0060011 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Platinum | 31841 | UHC Choice Platinum 0-1 (CMF7) K08S | EPO | 65635MD0050069 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31842 | UHC OCI Gold 2020 (CMFS) K08Y | HMO | 72375MD0010073 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31843 | UHC Choice Gold 2020 (CMFR) K08Y | EPO | 65635MD0050068 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31844 | UHC Choice Plus Gold 1500-3 (CMIC) K08Y | POS | 23620MD0060018 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31845 | UHC Choice Gold 1500-3 (CMGT) K08Y | EPO | 65635MD0060019 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31846 | UHC Choice Plus Gold 2000-2 (CMH9) K08Y | POS | 23620MD0060015 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31847 | UHC Choice Gold 2000 (CMGM) K08Y | EPO | 65635MD0060017 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31848 | UHC OCI Gold 1500-2 (CMGR) K08Y | HMO | 72375MD0060018 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31849 | UHC OCI Silver 5000-2 (CMHG) K08Y | HMO | 72375MD0060021 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31850 | UHC Choice Plus Silver 5000-2 (CMIQ) K08Y | POS | 23620MD0060023 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31851 | UHC Core Essential Silver 5000-2 (CMIS) K08Y | HMO | 31112MD0040017 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31852 | UHC Navigate Silver 5000-1 (CMI7) K08Y | HMO | 31112MD0050032 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31853 | UHC Choice Silver 5000-3 (CMHE) K08Y | EPO | 65635MD0060023 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31854 | UHC Core Essential Silver 3500-1 (CMIX) K08Y | HMO | 31112MD0040011 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31855 | UHC Choice Silver 3500-1 (CMHN) K08Y | EPO | 65635MD0060024 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31856 | UHC Navigate Silver 3500-1 (CMJD) K08Y | HMO | 31112MD0050024 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31857 | UHC Choice Plus Silver 3500-1 (CMIV) K08Y | POS | 23620MD0060024 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31858 | UHC OCI Silver 2000-1 (CMHL) K09L | HMO | 72375MD0060005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31859 | UHC OCI Gold 500 (CMFU) K10L | HMO | 72375MD0060012 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31860 | UHC Choice Gold 500 (CMFT) K10L | EPO | 65635MD0060012 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31861 | UHC OCI Silver 5000-1 (CMGC) K10L | HMO | 72375MD0060013 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Silver | 31862 | UHC Choice Silver 5000-1 (CMGB) K10L | EPO | 65635MD0060013 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Platinum | 31863 | UHC OCI Platinum 500 (CMGA) K11S | HMO | 72375MD0060014 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Platinum | 31864 | UHC Choice Platinum 500 (CMF9) K11S | EPO | 65635MD0060014 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| MD | M | Gold | 31865 | UHC Choice Plus HSA Gold 1500-3 (CMIA) K07Y | POS | 23620MD0060016 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31866 | UHC Choice Plus HSA Gold 1500 (CMOO) K27L | POS | 25978VA0080007 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31867 | UHC Heritage Select Advantage HSA Silver 5000 (CMR2) 401Y | POS | 89498VA0050003 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31868 | UHC Heritage Select Plus HSA Silver 4500-4 (CMQ2) 408Y | POS | 89498VA0060010 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31869 | UHC Heritage Select Plus HSA Silver 4500-6 (CMQH) 408Y | POS | 89498VA0060002 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31870 | UHC Heritage Select Plus HSA Silver 5000-6 (CMQ6) 408Y | POS | 89498VA0060011 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Bronze | 31871 | UHC Heritage Select Plus HSA Bronze 7000-3 (CMRC) 408Y | POS | 89498VA0060007 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31872 | UHC Heritage Select Plus HSA Silver 5000-8 (CMQ7) 374Y | POS | 89498VA0060032 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31873 | UHC Heritage Select Plus HSA Silver 5500-4 (CMRA) 401Y | POS | 89498VA0060024 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31874 | UHC Heritage Select Plus HSA Silver 4000-2 (CMQI) 401Y | POS | 89498VA0060009 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31875 | UHC Heritage Select Plus HSA Silver 5500-5 (CMRB) 374Y | POS | 89498VA0060034 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31876 | UHC Heritage Select Plus HSA Silver 5500-6 (CMQJ) 401Y | POS | 89498VA0060019 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31877 | UHC Heritage Select Plus HSA Silver 4500-5 (CMQ3) 374Y | POS | 89498VA0060031 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31878 | UHC Heritage Select Plus HSA Gold 2500-4 (CMQX) 374Y | POS | 89498VA0060058 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31879 | UHC Heritage Select Plus HSA Gold 2500-3 (CMQW) 400Y | POS | 89498VA0060048 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Bronze | 31880 | UHC Heritage Select Plus HSA Bronze 6000-3 (CMQ4) 402Y | POS | 89498VA0060025 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31881 | UHC Heritage Select Plus HSA Silver 4500-7 (CMQ5) 374Y | POS | 89498VA0060061 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31882 | UHC Heritage Select Plus HSA Gold 1500 (CMQU) 406Y | POS | 89498VA0060046 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31883 | UHC Heritage Select Plus HSA Silver 3000-4 (CMQV) 406Y | POS | 89498VA0060047 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31884 | UHC Heritage Select Advantage HSA Silver 4500 (CMRZ) 401Y | POS | 89498VA0050002 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31885 | UHC Heritage Select Advantage HSA Silver 2800 (CMRW) 401Y | POS | 89498VA0050011 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31886 | UHC Heritage Select Advantage HSA Silver 4000 (CMRY) 401Y | POS | 89498VA0050001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Bronze | 31887 | UHC Heritage Select Plus HSA Bronze 6000-4 (CMQL) 401Y | POS | 89498VA0060060 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31888 | UHC Heritage Select Plus HSA Silver 3000-7 (CMQK) 401Y | POS | 89498VA0060040 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31889 | UHC Heritage Select Plus HSA Silver 5000-9 (CMQ9) 374Y | POS | 89498VA0060033 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31890 | UHC Heritage Select Plus HSA Silver 3000-5 (CMQY) 401Y | POS | 89498VA0060049 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31891 | UHC Heritage Select Plus HSA Silver 5000-7 (CMQ8) 401Y | POS | 89498VA0060023 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31892 | UHC Heritage Select Plus HSA Silver 3000-6 (CMQZ) 374Y | POS | 89498VA0060059 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Bronze | 31893 | UHC Heritage Select Advantage HSA Bronze 5500 (CMR4) 402Y | POS | 89498VA0050005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Bronze | 31894 | UHC Heritage Select Advantage HSA Bronze 6000 (CMR5) 402Y | POS | 89498VA0050006 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31895 | UHC OCI Platinum 500 (CMMY) K25 | HMO | 24251VA0040009 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31896 | UHC Choice Platinum 500-1 (CMN2) K25 | EPO | 25978VA0070010 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31897 | UHC Choice Platinum 500-2 (CMN3) K25 | HMO | 38599VA0070021 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31898 | UHC OCI Gold 3500 (CMM9) K30Y | HMO | 24251VA0040015 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31899 | UHC Choice Plus Gold 2500-2 (CMOH) K30Y | POS | 25978VA0080013 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31900 | UHC OCI Silver 6750 (CMNJ) K30Y | HMO | 24251VA0040019 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31901 | UHC Choice Plus Silver 5000-1 (CMPJ) K30Y | POS | 25978VA0080021 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31902 | UHC Choice Plus Gold 2500-1 (CMOG) K30Y | POS | 38599VA0050004 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31903 | UHC OCI Gold 1500-1 (CMM5) K30Y | HMO | 24251VA0040013 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31904 | UHC Choice Silver 7000 (CMPV) K30Y | EPO | 25978VA0070027 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31905 | UHC OCI Preferred Gold 1500-1 (CMM6) K30Y | POS | 24251VA0050003 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31906 | UHC Choice Plus Silver 7000 (CMPW) K30Y | POS | 25978VA0080023 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31907 | UHC Choice Gold 2500-1 (CMOE) K30Y | HMO | 38599VA0070025 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31908 | UHC Choice Silver 5500 (CMPF) K30Y | HMO | 38599VA0070029 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31909 | UHC Choice Silver 5000-3 (CMPH) K30Y | EPO | 25978VA0070025 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31910 | UHC Choice Gold 2500-2 (CMOF) K30Y | EPO | 25978VA0070017 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31911 | UHC Choice Plus Silver 5500 (CMPI) K30Y | POS | 38599VA0050008 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31912 | UHC Choice Gold 3000 (CMOP) K30Y | EPO | 25978VA0070019 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31913 | UHC Choice Plus Gold 3000 (CMOQ) K30Y | POS | 25978VA0080015 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31914 | UHC Navigate Gold 2500 (CMP8) K30Y | HMO | 38599VA0070016 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31915 | UHC Core Essential Gold 2500 (CMOI) K30Y | HMO | 38599VA0070003 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31916 | UHC Core Essential Silver 5500 (CMPG) K30Y | HMO | 38599VA0070006 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31917 | UHC Navigate Silver 5500 (CMQA) K30Y | HMO | 38599VA0070019 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31918 | UHC Choice Gold 1500-1 (CMOC) K30Y | EPO | 25978VA0070016 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Bronze | 31919 | UHC Navigate HSA Bronze 7000 (CMP4) E83L | HMO | 38599VA0070013 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Bronze | 31920 | UHC Choice HSA Bronze 7000 (CMNM) E83L | EPO | 25978VA0070001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Bronze | 31921 | UHC Core Essential HSA Bronze 7000 (CMNO) E83L | HMO | 38599VA0070001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Bronze | 31922 | UHC OCI HSA Bronze 7000 (CMMT) E83L | HMO | 24251VA0040006 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Bronze | 31923 | UHC Choice Plus HSA Bronze 7000 (CMNN) E83L | POS | 25978VA0080001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31924 | UHC Choice Plus HSA Gold 2250-1 (CMNW) K27L | POS | 25978VA0080003 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31925 | UHC Choice HSA Gold 2250-2 (CMNV) K27L | HMO | 38599VA0070010 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31926 | UHC OCI HSA Gold 2250 (CMMV) K27L | HMO | 24251VA0040007 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31927 | UHC Core Essential HSA Gold 2250 (CMNY) K27L | HMO | 38599VA0070002 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31928 | UHC Choice HSA Gold 2250-1 (CMNU) K27L | EPO | 25978VA0070003 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31929 | UHC Choice Plus HSA Gold 2250-2 (CMNX) K27L | POS | 38599VA0050001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31930 | UHC OCI Preferred HSA Gold 2250 (CMMW) K27L | POS | 24251VA0050002 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31931 | UHC Choice Plus Gold 1500-1 (CMOD) K30Y | POS | 25978VA0080012 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31932 | UHC OCI Preferred Silver 6750 (CMNK) K30Y | POS | 24251VA0050006 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31933 | UHC Choice HSA Gold 1500 (CMON) K27L | EPO | 25978VA0070007 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31934 | UHC Heritage Select Advantage HSA Silver 3500 (CMRX) 401Y | POS | 89498VA0050012 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Bronze | 31935 | UHC Heritage Select Advantage HSA Bronze 5000 (CMR3) 402Y | POS | 89498VA0050004 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31936 | UHC Heritage Select Advantage Gold 2000 (CMRS) 400Y | POS | 89498VA0050007 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31937 | UHC Heritage Select Advantage Silver 3500 (CMRT) 403Y | POS | 89498VA0050008 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31938 | UHC Heritage Select Plus Gold 5000-3 (CMRE) 404Y | POS | 89498VA0060003 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31939 | UHC Heritage Select Plus Gold 2500-4 (CMRL) 401Y | POS | 89498VA0060054 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31940 | UHC Heritage Select Plus Gold 3000-6 (CMQP) 401Y | POS | 89498VA0060043 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31941 | UHC Heritage Select Plus Silver 5000-6 (CMQQ) 405Y | POS | 89498VA0060001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31942 | UHC Heritage Select Plus Gold 3000-5 (CMRN) 401Y | POS | 89498VA0060056 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31943 | UHC Heritage Select Plus Gold 4000-6 (CMRJ) 402Y | POS | 89498VA0060008 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31944 | UHC Heritage Select Plus Gold 3500-4 (CMRO) 402Y | POS | 89498VA0060057 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31945 | UHC Heritage Select Plus Gold 2000-3 (CMRK) 400Y | POS | 89498VA0060053 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Bronze | 31946 | UHC Heritage Select Plus Bronze 7250-2 (CMQR) 402Y | POS | 89498VA0060005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31947 | UHC Heritage Select Plus Gold 1500-2 (CMQM) 409Y | POS | 89498VA0060041 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31948 | UHC Heritage Select Plus Gold 2500-5 (CMQN) 409Y | POS | 89498VA0060042 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31949 | UHC Heritage Select Plus Gold 4000-8 (CMQO) 409Y | POS | 89498VA0060026 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31950 | UHC Heritage Select Plus Silver 6700-2 (CMRP) 401Y | POS | 89498VA0060022 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31951 | UHC Heritage Select Plus Gold 1000 (CMQS) 406Y | POS | 89498VA0060044 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31952 | UHC Heritage Select Plus Platinum 1000-3 (CMRF) 407Y | POS | 89498VA0060051 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31953 | UHC Heritage Select Platinum 500-2 (CMRH) 407Y | HMO | 89498VA0070001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31954 | UHC Heritage Select Plus Platinum 750-2 (CMRI) 407Y | POS | 89498VA0060052 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31955 | UHC Heritage Select Plus Silver 5000-5 (CMQF) 400Y | POS | 89498VA0060012 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31956 | UHC Heritage Select Plus Gold 2000-4 (CMRM) 400Y | POS | 89498VA0060055 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31957 | UHC Heritage Select Plus Silver 3000-1 (CMQC) 401Y | POS | 89498VA0060037 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31958 | UHC Heritage Select Plus Platinum 2000-2 (CMRD) 407Y | POS | 89498VA0060050 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31959 | UHC Heritage Select Plus Gold 4000-7 (CMRG) 402Y | POS | 89498VA0060015 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31960 | UHC Heritage Select Plus Gold 4000-5 (CMRR) 403Y | POS | 89498VA0060063 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31961 | UHC Heritage Select Plus Silver 3000-2 (CMQD) 400Y | POS | 89498VA0060038 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31962 | UHC Heritage Select Plus Silver 3500 (CMQE) 401Y | POS | 89498VA0060039 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31963 | UHC Heritage Select Plus Silver 5600 (CMQG) 400Y | POS | 89498VA0060013 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31964 | UHC Heritage Select Plus Gold 3250 (CMRQ) 403Y | POS | 89498VA0060062 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31965 | UHC Heritage Select Plus Platinum 500-1 (CMQT) 406Y | POS | 89498VA0060045 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31966 | UHC Choice Plus Platinum 0-1 (CMN4) K33S | POS | 25978VA0080009 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31967 | UHC Choice Plus Platinum 0-3 (CMO6) K31S | POS | 25978VA0080020 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31968 | UHC Choice Plus Platinum 250 (CMOX) K31S | POS | 25978VA0080017 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31969 | UHC Choice Plus Platinum 0-2 (CMO3) K31S | POS | 25978VA0080019 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31970 | UHC Choice Platinum 0-4 (CMO5) K31S | HMO | 38599VA0070028 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31971 | UHC OCI Platinum 0 (CMNB) K31S | HMO | 24251VA0040017 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31972 | UHC OCI Preferred Platinum 0 (CMNC) K31S | POS | 24251VA0050005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31973 | UHC Choice Platinum 0-3 (CMO4) K31S | EPO | 25978VA0070024 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31974 | UHC Choice Platinum 0-2 (CMO2) K31S | EPO | 25978VA0070023 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31975 | UHC Choice Platinum 250 (CMOW) K31S | EPO | 25978VA0070021 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31976 | UHC Choice Plus Platinum 0-4 (CMO7) K31S | POS | 38599VA0050007 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31977 | UHC Choice Platinum 0-1 (CMNZ) K34S | EPO | 25978VA0070013 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31978 | UHC Choice Plus Platinum 750 (CMOZ) K31S | POS | 25978VA0080018 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Platinum | 31979 | UHC Choice Platinum 750 (CMOY) K31S | EPO | 25978VA0070022 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31980 | UHC OCI Gold 2020 (CMMU) K29Y | HMO | 24251VA0040011 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31981 | UHC Choice Gold 2020 (CMNR) K34Y | EPO | 25978VA0070012 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31982 | UHC Choice Plus Gold 0 (CMOA) K28Y | POS | 25978VA0080011 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31983 | UHC Choice Gold 0 (CMOB) K28Y | EPO | 25978VA0070015 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31984 | UHC OCI Gold 0 (CMM4) K28Y | HMO | 24251VA0040012 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31985 | UHC Choice Plus Silver 3500-1 (CMPY) K29Y | POS | 25978VA0080024 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31986 | UHC Choice Silver 3500-2 (CMP2) K29Y | EPO | 25978VA0070028 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31987 | UHC Choice Silver 3500-1 (CMPX) K29Y | HMO | 38599VA0070031 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31988 | UHC Choice Silver 5000-5 (CMPL) K29Y | HMO | 38599VA0070030 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31989 | UHC Choice Gold 2000-1 (CMOJ) K29Y | EPO | 25978VA0070018 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31990 | UHC Choice Plus Gold 2000-2 (CMOM) K29Y | POS | 38599VA0050005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31991 | UHC Choice Plus Gold 750 (CMN9) K28Y | POS | 25978VA0080010 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31992 | UHC Choice Plus Gold 1500-2 (CMOT) K28Y | POS | 25978VA0080016 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31993 | UHC OCI Silver 5000-2 (CMNG) K29Y | HMO | 24251VA0040018 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31994 | UHC OCI Preferred Gold 1500-2 (CMM8) K29Y | POS | 24251VA0050004 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31995 | UHC Choice Gold 2000-2 (CMOK) K29Y | HMO | 38599VA0070026 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31996 | UHC OCI Gold 1500-2 (CMM7) K29Y | HMO | 24251VA0040014 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31997 | UHC Choice Plus Silver 3500-2 (CMPZ) K29Y | POS | 38599VA0050009 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 31998 | UHC Choice Silver 5000-4 (CMPK) K29Y | EPO | 25978VA0070026 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 31999 | UHC Choice Plus Gold 2000-1 (CMOL) K29Y | POS | 25978VA0080014 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 32000 | UHC Choice Gold 1000 (CMN8) K28Y | HMO | 38599VA0070024 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 32001 | UHC Choice Gold 1500-2 (CMOR) K28Y | EPO | 25978VA0070020 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 32002 | UHC Choice Gold 1500-3 (CMOS) K28Y | HMO | 38599VA0070027 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32003 | UHC Core Essential Silver 5000 (CMPN) K29Y | HMO | 38599VA0070007 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 32004 | UHC Choice Gold 750 (CMN7) K28Y | EPO | 25978VA0070014 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 32005 | UHC OCI Gold 2000 (CMNA) K28Y | HMO | 24251VA0040016 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32006 | UHC Core Essential Silver 3500 (CMP3) K29Y | HMO | 38599VA0070008 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 32007 | UHC Navigate Gold 1500 (CMP6) K28Y | HMO | 38599VA0070017 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32008 | UHC Navigate Silver 3500 (CMQB) K29Y | HMO | 38599VA0070009 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32009 | UHC Navigate Silver 5000 (CMP7) K29Y | HMO | 38599VA0070015 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 32010 | UHC Core Essential Gold 1500 (CMOV) K28Y | HMO | 38599VA0070004 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 32011 | UHC Choice Plus Gold 1500-3 (CMOU) K28Y | POS | 38599VA0050006 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32012 | UHC Choice HSA Silver 2500-2 (CMO9) K27L | HMO | 38599VA0070023 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32013 | UHC OCI Silver 2000 (CMNL) K26L | HMO | 24251VA0040005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32014 | UHC Choice Silver 5000-1 (CMN5) K25L | EPO | 25978VA0070011 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 32015 | UHC Choice Gold 500-2 (CMNT) K25L | HMO | 38599VA0070020 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 32016 | UHC Choice Gold 500-1 (CMNS) K25L | EPO | 25978VA0070009 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 32017 | UHC OCI Gold 500 (CMMX) K25L | HMO | 24251VA0040008 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32018 | UHC OCI Silver 5000-1 (CMMZ) K25L | HMO | 24251VA0040010 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32019 | UHC Choice Silver 5000-2 (CMN6) K25L | HMO | 38599VA0070022 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32020 | UHC Choice Plus Silver 5000-2 (CMPM) K29Y | POS | 25978VA0080022 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32021 | UHC Navigate HSA Silver 2500 (CMP9) K27L | HMO | 38599VA0070018 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32022 | UHC Choice HSA Silver 3000-1 (CMPO) K27L | EPO | 25978VA0070005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32023 | UHC Choice Plus HSA Silver 3000-2 (CMPR) K27L | POS | 38599VA0050003 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32024 | UHC Choice HSA Silver 3000-2 (CMPP) K27L | HMO | 38599VA0070011 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32025 | UHC Choice HSA Silver 4000 (CMPD) K27L | EPO | 25978VA0070004 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32026 | UHC OCI HSA Silver 4000 (CMNF) K27L | HMO | 24251VA0040002 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32027 | UHC Choice Plus HSA Silver 2500-2 (CMPB) K27L | POS | 38599VA0050002 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32028 | UHC Choice HSA Silver 2500-1 (CMO8) K27L | EPO | 25978VA0070008 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32029 | UHC Choice Plus HSA Silver 3000-1 (CMPQ) K27L | POS | 25978VA0080008 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32030 | UHC OCI Preferred HSA Silver 2500 (CMNE) K27L | POS | 24251VA0050001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32031 | UHC OCI HSA Silver 2500 (CMND) K27L | HMO | 24251VA0040001 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32032 | UHC OCI HSA Silver 3000 (CMNH) K27L | HMO | 24251VA0040003 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32033 | UHC Choice Plus HSA Silver 2500-1 (CMPA) K27L | POS | 25978VA0080004 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32034 | UHC Core Essential HSA Silver 2500 (CMPC) K27L | HMO | 38599VA0070005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32035 | UHC Choice Plus HSA Silver 4000 (CMPE) K27L | POS | 25978VA0080005 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 32036 | UHC Choice HSA Gold 1600 (CMNP) K27L | EPO | 25978VA0070002 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 32037 | UHC Navigate HSA Gold 1600 (CMP5) K27L | HMO | 38599VA0070014 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Gold | 32038 | UHC Choice Plus HSA Gold 1600 (CMNQ) K27L | POS | 25978VA0080002 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32039 | UHC OCI HSA Silver 4500 (CMNI) K27L | HMO | 24251VA0040004 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32040 | UHC Choice HSA Silver 4500-2 (CMPT) K27L | HMO | 38599VA0070012 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32041 | UHC Choice HSA Silver 4500-1 (CMPS) K27L | EPO | 25978VA0070006 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32042 | UHC Choice Plus HSA Silver 4500 (CMPU) K27L | POS | 25978VA0080006 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32043 | UHC Heritage Select Advantage Silver 4000 (CMRU) 403Y | POS | 89498VA0050009 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |
| VA | M | Silver | 32044 | UHC Heritage Select Advantage Silver 5000 (CMRV) 405Y | POS | 89498VA0050010 | ? |
Benefits
| 1/1/2022 | 3/31/2022 | UHC | |