Summary of Benefits Documents - Association Plans

Current Documents

Go to the Archive to access documents with pre-7/1/2011 Benefit Effective Date

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Document
Total Employees
Benefit Effective Date
Plan Family
POSA?
Calendar or Contract Year?
Deductible?
Out of Area?
Plus Association OOA 1000/25/80% Autism51+1/1/2012PlusNoCalendar YearYesNo
Plus Association OOA 1500/25/80% Autism51+1/1/2012PlusNoCalendar YearYesNo
Plus Association OOA 15/80% Autism51+1/1/2012PlusNoCalendar YearNoYes
Plus Association OOA 15/90% Autism51+1/1/2012PlusNoCalendar YearNoNo
Plus Association OOA 1750/30/70% Autism51+1/1/2012PlusNoCalendar YearYesNo
Plus Association OOA 20/80% Autism51+1/1/2012PlusNoCalendar YearNoNo
Plus Association OOA 500/25/80% Autism51+1/1/2012PlusNoCalendar YearYesNo
Plus Association OOA 750/25/80% Autism51+1/1/2012PlusNoCalendar YearYesNo
Plus Association OOA 1000/25/80% Autism51+1/1/2012PlusNoContract YearYesYes
Plus Association OOA 1500/25/80% Autism51+1/1/2012PlusNoContract YearYesYes
Plus Association OOA 15/80% Autism51+1/1/2012PlusNoContract YearNoYes
Plus Association OOA 15/90% Autism51+1/1/2012PlusNoContract YearNoYes
Plus Association OOA 1750/30/70% Autism51+1/1/2012PlusNoContract YearYesYes
Plus Association OOA 20/80% Autism51+1/1/2012PlusNoContract YearYesYes
Plus Association OOA 500/25/80% Autism51+1/1/2012PlusNoContract YearYesYes
Plus Association OOA 750/25/80% Autism51+1/1/2012PlusNoContract YearYesYes
Plus Association 1000/25/80% Autism51+1/1/2012PlusNoCalendar YearYesNo
Plus Association 1500/25/80% Autism51+1/1/2012PlusNoCalendar YearYesNo
Plus Association 15/80% Autism51+1/1/2012PlusNoCalendar YearNoNo
Plus Association 15/90% Autism51+1/1/2012PlusNoCalendar YearNoNo
Plus Association 1750/30/70% Autism51+1/1/2012PlusNoCalendar YearYesNo
Plus Association 20/80% Autism51+1/1/2012PlusNoCalendar YearNoNo
Plus Association 500/25/80% Autism51+1/1/2012PlusNoCalendar YearYesNo
Plus Association 750/25/80% Autism51+1/1/2012PlusNoCalendar YearYesNo
Plus Association 1000/25/80% Autism51+1/1/2012PlusNoContract YearYesNo
Plus Association 1500/25/80% Autism51+1/1/2012PlusNoContract YearYesNo
Plus Association 15/80% Autism51+1/1/2012PlusNoContract YearNoNo
Plus Association 15/90% Autism51+1/1/2012PlusNoContract YearNoNo
Plus Association 1750/30/70% Autism51+1/1/2012PlusNoContract YearYesNo
Plus Association 20/80% Autism51+1/1/2012PlusNoContract YearNoNo
Plus Association 500/25/80% Autism51+1/1/2012PlusNoContract YearYesNo
Plus Association 750/25/80% Autism51+1/1/2012PlusNoContract YearYesNo
Patient Optional POSA Association 1000/20/80% Autism51+1/1/2012VantageYesCalendar YearYesNo
Patient Optional POSA Association 1000/25/70% Autism51+1/1/2012VantageYesCalendar YearYesNo
Patient Optional POSA Association 10/20 Autism51+1/1/2012VantageYesCalendar YearNoNo
Patient Optional POSA Association 10/25 Autism51+1/1/2012VantageYesCalendar YearNoNo
Patient Optional POSA Association 1500/20/80% Autism51+1/1/2012VantageYesCalendar YearYesNo
Patient Optional POSA Association 15/35 Autism51+1/1/2012VantageYesCalendar YearNoNo
Patient Optional POSA Association 15/80% Autism51+1/1/2012VantageYesCalendar YearNoNo
Patient Optional POSA Association 20/40 Autism51+1/1/2012VantageYesCalendar YearNoNo
Patient Optional POSA Association 20/80% Autism51+1/1/2012VantageYesCalendar YearNoNo
Patient Optional POSA Association 25/50 Autism51+1/1/2012VantageYesCalendar YearNoNo
Patient Optional POSA Association 25/70% Autism51+1/1/2012VantageYesCalendar YearNoNo
Patient Optional POSA Association 500/15/80% Autism51+1/1/2012VantageYesCalendar YearYesNo
Patient Optional POSA Association 500/20/80% Autism51+1/1/2012VantageYesCalendar YearYesNo
Patient Optional POSA Association 1000/20/80% Autism51+1/1/2012VantageYesContract YearYesNo
Patient Optional POSA Association 1000/25/70% Autism51+1/1/2012VantageYesContract YearYesNo
Patient Optional POSA Association 10/20 Autism51+1/1/2012VantageYesContract YearNoNo
Patient Optional POSA Association 10/25 Autism51+1/1/2012VantageYesContract YearNoNo
Patient Optional POSA Association 1500/20/80% Autism51+1/1/2012VantageYesContract YearYesNo
Patient Optional POSA Association 15/35 Autism51+1/1/2012VantageYesContract YearYesNo
Patient Optional POSA Association 15/80% Autism51+1/1/2012VantageYesContract YearNoNo
Patient Optional POSA Association 2000/25/70% Autism51+1/1/2012VantageYesContract YearYesNo
Patient Optional POSA Association 20/40 Autism51+1/1/2012VantageYesContract YearNoNo
Patient Optional POSA Association 20/80% Autism51+1/1/2012VantageYesContract YearNoNo
Patient Optional POSA Association 25/50 Autism51+1/1/2012VantageYesContract YearNoNo
Patient Optional POSA Association 25/70% Autism51+1/1/2012VantageYesContract YearNoNo
Patient Optional POSA Association 500/15/80% Autism51+1/1/2012VantageYesContract YearYesNo
Patient Optional POSA Association 500/20/80% Autism51+1/1/2012VantageYesContract YearYesNo
Vantage Association 1000/20/80% Autism51+1/1/2012VantageNoCalendar YearYesNo
Vantage Association 1000/25/70% Autism51+1/1/2012VantageNoCalendar YearYesNo
Vantage Association 10/20 Autism51+1/1/2012VantageNoCalendar YearNoNo
Vantage Association 10/25 Autism51+1/1/2012VantageNoCalendar YearNoNo
Vantage Association 1500/20/80% Autism51+1/1/2012VantageNoCalendar YearYesNo
Vantage Association 15/35 Autism51+1/1/2012VantageNoCalendar YearNoNo
Vantage Association 15/80% Autism51+1/1/2012VantageNoCalendar YearNoNo
Vantage Association 2000/25/70% Autism51+1/1/2012VantageNoCalendar YearYesNo
Vantage Association 20/40 Autism51+1/1/2012VantageNoCalendar YearNoNo
Vantage Association 20/80% Autism51+1/1/2012VantageNoCalendar YearNoNo
Vantage Association 25/50 Autism51+1/1/2012VantageNoCalendar YearNoNo
Vantage Association 25/70 Autism51+1/1/2012VantageNoCalendar YearNoNo
Vantage Association 500/15/80% Autism51+1/1/2012VantageNoCalendar YearYesNo
Vantage Association 500/20/80% Autism51+1/1/2012VantageNoCalendar YearYesNo
Optima Vantage Association 1000/20/80% Autism51+1/1/2012VantageNoContract YearYesNo
Vantage Association 1000/25/70% Autism51+1/1/2012VantageNoContract YearYesNo
Vantage Association 10/20 Autism51+1/1/2012VantageNoContract YearNoNo
Vantage Association 10/25 Autism51+1/1/2012VantageNoContract YearNoNo
Vantage Association 1500/20/80% Autism51+1/1/2012VantageNoContract YearYesNo
Vantage Association 15/35 Autism51+1/1/2012VantageNoContract YearNoNo
Vantage Association 15/80% Autism51+1/1/2012VantageNoContract YearNoNo
Vantage Association 2000/25/70% Autism51+1/1/2012VantageNoContract YearYesNo
Vantage Association 20/40 Autism51+1/1/2012VantageNoContract YearNoNo
Vantage Association 20/80% Autism51+1/1/2012VantageNoContract YearNoNo
Vantage Association 25/50 Autism51+1/1/2012VantageNoContract YearNoNo
Vantage Association 25/70% Autism51+1/1/2012VantageNoContract YearNoNo
Vantage Association 500/15/80% Autism51+1/1/2012VantageNoContract YearYesNo
Vantage Association 500/20/80% Autism51+1/1/2012VantageNoContract YearYesNo
07-2011 Optima Plus Association OOA 1000/25/80% Calendar Yr2-507/1/2011PlusNoCalendar YearYesYes
07-2011 Optima Plus Association OOA 1500/25/80% Calendar Yr2-507/1/2011PlusNoCalendar YearYesYes
07-2011 Optima Plus Association OOA 15/80% Calendar Yr2-507/1/2011PlusNoCalendar YearNoYes
07-2011 Optima Plus Association OOA 15/90% Calendar Yr2-507/1/2011PlusNoCalendar YearYesYes
07-2011 Optima Plus Association OOA 20/80% Calendar Yr2-507/1/2011PlusNoCalendar YearNoYes
07-2011 Optima Plus Association OOA 500/25/80% Calendar Yr2-507/1/2011PlusNoCalendar YearYesYes
07-2011 Optima Plus Association OOA 750/25/80% Calendar Yr2-507/1/2011PlusNoCalendar YearYesYes
07-2011 Optima Plus Association OOA 1000/25/80% Contract Yr2-507/1/2011PlusNoContract YearYesYes
07-2011 Optima Plus Association OOA 1500/25/80% Contract Yr2-507/1/2011PlusNoContract YearYesYes
07-2011 Optima Plus Association OOA 15/80% Contract Yr2-507/1/2011PlusNoContract YearNoYes
07-2011 Optima Plus Association OOA 15/90% Contract Yr2-507/1/2011PlusNoContract YearNoYes
07-2011 Optima Plus Association OOA 20/80% Contract Yr2-507/1/2011PlusNoContract YearNoYes
07-2011 Optima Plus Association OOA 500/25/80% Contract Yr2-507/1/2011PlusNoContract YearYesYes
07-2011 Optima Plus Association OOA 750/25/80% Contract Yr2-507/1/2011PlusNoContract YearYesYes
07-2011 Optima Plus Association 1000/25/80% Calendar Yr2-507/1/2011PlusNoCalendar YearYesNo
07-2011 Optima Plus Association 1500/25/80% Calendar Yr2-507/1/2011PlusNoCalendar YearYesNo
07-2011 Optima Plus Association 15/80% Calendar Yr2-507/1/2011PlusNoCalendar YearNoNo
07-2011 Optima Plus Association 15/90% Calendar Yr2-507/1/2011PlusNoCalendar YearNoNo
07-2011 Optima Plus Association 20/80% Calendar Yr2-507/1/2011PlusNoCalendar YearNoNo
07-2011 Optima Plus Association 500/25/80% Calendar Yr2-507/1/2011PlusNoCalendar YearYesNo
07-2011 Optima Plus Association 750/25/80% Calendar Yr2-507/1/2011PlusNoCalendar YearYesNo
07-2011 Optima Plus Association 1000/25/80% Contract Yr2-507/1/2011PlusNoContract YearYesNo
07-2011 Optima Plus Association 1500/25/80% Contract Yr2-507/1/2011PlusNoContract YearYesNo
07-2011 Optima Plus Association 15/80% Contract Yr2-507/1/2011PlusNoContract YearNoNo
07-2011 Optima Plus Association 15/90% Contract Yr2-507/1/2011PlusNoContract YearNoYes
07-2011 Optima Plus Association 20/80% Contract Yr2-507/1/2011PlusNoContract YearNoNo
07-2011 Optima Plus Association 500/25/80% Contract Yr2-507/1/2011PlusNoContract YearYesNo
07-2011 Optima Plus Association 750/25/80% Contract Yr2-507/1/2011PlusNoContract YearYesNo
07-2011 Patient Optional POSA Association 1000/20/80% Calendar Yr2-507/1/2011VantageYesCalendar YearYesNo
07-2011 Patient Optional POSA Association 1000/25/70% Calendar Yr2-507/1/2011VantageYesCalendar YearYesNo
07-2011 Patient Optional POSA Association 10/20 Calendar Yr2-507/1/2011VantageYesCalendar YearNoNo
07-2011 Patient Optional POSA Association 10/25 Calendar Yr2-507/1/2011VantageYesCalendar YearNoNo
07-2011 Patient Optional POSA Association 1500/20/80% Calendar Yr2-507/1/2011VantageYesCalendar YearYesNo
07-2011 Patient Optional POSA Association 15/35 Calendar Yr2-507/1/2011VantageYesCalendar YearNoNo
07-2011 Patient Optional POSA Association 15/80% Calendar Yr2-507/1/2011VantageYesCalendar YearNoNo
07-2011 Patient Optional POSA Association 2000/25/70% Calendar Yr2-507/1/2011VantageYesCalendar YearYesNo
07-2011 Patient Optional POSA Association 20/40 Calendar Yr2-507/1/2011VantageYesCalendar YearNoNo
07-2011 Patient Optional POSA Association 20/80% Calendar Yr2-507/1/2011VantageYesCalendar YearNoNo
07-2011 Patient Optional POSA Association 25/50 Calendar Yr2-507/1/2011VantageYesCalendar YearNoNo
07-2011 Patient Optional POSA Association 25/70% Calendar Yr2-507/1/2011VantageYesCalendar YearNoNo
07-2011 Patient Optional POSA Association 500/15/80% Calendar Yr2-507/1/2011VantageYesCalendar YearYesNo
07-2011 Patient Optional POSA Association 500/20/80% Calendar Yr2-507/1/2011VantageYesCalendar YearYesNo
07-2011 Patient Optional POSA Association 1000/20/80% Contract Yr2-507/1/2011VantageYesContract YearYesNo
07-2011 Patient Optional POSA Association 1000/25/70% Contract Yr2-507/1/2011VantageYesContract YearYesNo
07-2011 Patient Optional POSA Association 10/20 Contract Yr2-507/1/2011VantageYesContract YearNoNo
07-2011 Patient Optional POSA Association 10/25 Contract Yr2-507/1/2011VantageYesContract YearNoNo
07-2011 Patient Optional POSA Association 1500/20/80% Contract Yr2-507/1/2011VantageYesContract YearYesNo
07-2011 Patient Optional POSA Association 15/35 Contract Yr2-507/1/2011VantageYesContract YearNoNo
07-2011 Patient Optional POSA Association 15/80% Contract Yr2-507/1/2011VantageYesContract YearNoNo
07-2011 Patient Optional POSA Association 2000/25/70% Contract Yr2-507/1/2011VantageYesContract YearYesNo
07-2011 Patient Optional POSA Association 20/40 Contract Yr2-507/1/2011VantageYesContract YearNoNo
07-2011 Patient Optional POSA Association 20/80% Contract Yr2-507/1/2011VantageYesContract YearNoNo
07-2011 Patient Optional POSA Association 25/50 Contract Yr2-507/1/2011VantageYesContract YearNoNo
07-2011 Patient Optional POSA Association 25/70% Contract Yr2-507/1/2011VantageYesContract YearNoNo
07-2011 Patient Optional POSA Association 500/15/80% Contract Yr2-507/1/2011VantageYesContract YearYesNo
07-2011 Patient Optional POSA Association 500/20/80% Contract Yr2-507/1/2011VantageYesContract YearYesNo
07-2011 Optima Vantage Association 1000/20/80% Calendar Yr2-507/1/2011VantageNoCalendar YearYesNo
07-2011 Optima Vantage Association 1000/25/70% Calendar Yr2-507/1/2011VantageNoCalendar YearYesNo
07-2011 Optima Vantage Association 10/20 Calendar Yr2-507/1/2011VantageNoCalendar YearNoNo
07-2011 Optima Vantage Association 10/25 Calendar Yr2-507/1/2011VantageNoCalendar YearNoNo
07-2011 Optima Vantage Association 1500/20/80% Calendar Yr2-507/1/2011VantageNoCalendar YearYesNo
07-2011 Optima Vantage Association 15/35 Calendar Yr2-507/1/2011VantageNoCalendar YearNoNo
07-2011 Optima Vantage Association 15/80% Calendar Yr2-507/1/2011VantageNoCalendar YearNoNo
07-2011 Optima Vantage Association 2000/25/70% Calendar Yr2-507/1/2011VantageNoCalendar YearYesNo
07-2011 Optima Vantage Association 20/40 Calendar Yr2-507/1/2011VantageNoCalendar YearNoNo
07-2011 Optima Vantage Association 20/80% Calendar Yr2-507/1/2011VantageNoCalendar YearNoNo
07-2011 Optima Vantage Association 25/50 Calendar Yr2-507/1/2011VantageNoCalendar YearNoNo
07-2011 Optima Vantage Association 500/15/80% Calendar Yr2-507/1/2011VantageNoCalendar YearYesNo
07-2011 Optima Vantage Association 500/20/80% Calendar Yr2-507/1/2011VantageNoCalendar YearYesNo
07-2011 Optima Vantage Association 1000/20/80% Contract Yr2-507/1/2011VantageNoContract YearYesNo
07-2011 Optima Vantage Association 1000/25/70% Contract Yr2-507/1/2011VantageNoContract YearYesNo
07-2011 Optima Vantage Association 10/20 Contract Yr2-507/1/2011VantageNoContract YearNoNo
07-2011 Optima Vantage Association 10/25 Contract Yr2-507/1/2011VantageNoContract YearNoNo
07-2011 Optima Vantage Association 1500/20/80% Contract Yr2-507/1/2011VantageNoContract YearYesNo
07-2011 Optima Vantage Association 15/35 Contract Yr2-507/1/2011VantageNoContract YearNoNo
07-2011 Optima Vantage Association 15/80% Contract Yr2-507/1/2011VantageNoContract YearNoNo
07-2011 Optima Vantage Association 2000/25/70% Contract Yr2-507/1/2011VantageNoContract YearYesNo
07-2011 Optima Vantage Association 20/40 Contract Yr2-507/1/2011VantageNoContract YearNoNo
07-2011 Optima Vantage Association 20/80% Contract Yr2-507/1/2011VantageNoContract YearNoNo
07-2011 Optima Vantage Association 25/50 Contract Yr2-507/1/2011VantageNoContract YearNoNo
07-2011 Optima Vantage Association 25/70% Contract Yr2-507/1/2011VantageNoContract YearNoNo
07-2011 Optima Vantage Association 500/15/80% Contract Yr2-507/1/2011VantageNoContract YearYesNo
07-2011 Optima Vantage Association 500/20/80% Contract Yr2-507/1/2011VantageNoContract YearYesNo
072011 Optima Plus Association OOA 1750/30/70% Calendar Yr2-507/1/2011PlusNoCalendar YearYesYes
07-2011 Optima Plus Association OOA 1750/30/70% Contract Yr2-507/1/2011EssentialNoContract YearYesYes
07-2011 Optima Plus Association 1750/30/70% Calendar Yr2-507/1/2011PlusNoCalendar YearYesNo
07-2011 Optima Plus Association 1750/30/70% Contract Yr2-507/1/2011PlusNoContract YearYesNo
2011-07 Vant Association 2570% Calendar Yr2-507/1/2011VantageNoCalendar YearNoNo