Summary of Benefits and Coverage

GlossaryDistribution Instructions for Summary of Benefits (Summary) Health Legacy 200 (closed to new groups) Health Today Health Choice 500 Health Choice 1000 Health Choice 1500 Health Choice 2000 Health Choice 2000 Plus Health Choice 2500 Health Choice 3000 Health Choice 3000 80/20 Health Choice 3500 Health Choice 4000 Health Choice 4000 Plus Health Choice 5000 Health Choice 5000 80/20 Health Choice 6000 Health Saver Health Saver Standard Health Saver Plus Health Saver 1500 Health Saver 2000 (closed to new groups) Health Saver 2750 (closed to new groups) Health Saver 2800 (closed to new groups) Health Saver 2800 Plus (closed to new groups) Health Saver 3000 (closed to new groups) Health Saver 4000 Health Saver 4000 Plus Health Saver 5000 Health Saver 6000 Basic Value Health 5000 Value Health 3000 EPO Value Health 5000 Economy Health 5000 Global Core 3500 Global Core 5000 Secure Health 3000 BlueHPN 1000 BlueHPN 2000 BlueHPN 2000 Plus BlueHPN 3000 BlueHPN 5000 Blue HPN Saver 2750 Blue HPN Saver 2800 BlueHPN Saver 4000 BlueHPN Saver 6000

GlossaryDistribution Instructions for Summary of Benefits (Summary) Personal Health Choice 1000 Personal Health Choice 2000 Personal Health Choice 3000 Personal Health Access 2000 EPO Personal Health Access 3000 EPO Personal Health Access 5000 EPO Personal Health Access 6000 EPO Personal Health Access 7500 EPO Personal Health Saver 2800 Personal Health Saver 3800 EPO Personal Health Saver 7000 EPO Personal Value Health 5000 Personal Value Health 7500 EPO Personal Value Health with Rx Deductible EPO Personal Secure Health 3000 EPO Personal Secure Health 6000 EPO Personal Secure Health 9000 EPO

Glossary Senior Plan - No RX Senior Plus Plan - No RX Care Today - No RX