Small Group Health Plans
The Summary of Benefits and Coverage documents are featured below. If you need further assistance or need to obtain benefit information for a Small Group, please contact your account representative.
2024 Plan Information
Coming soon
2023 Plan Information
APPLICATION KIT
Small Group Application KitSmall Group Employer ApplicationSmall Group Employee Action FormAttestation of Small Group Size Form
PLAN OVERVIEWS
RATES
METAL PLAN SUMMARY OF BENEFITS AND COVERAGE (SBC)
SMALL GROUP HMO PLANS
SMALL GROUP PPO PLANS
SMALL GROUP ENGAGE PLANS
METAL PLAN GROUP SUBSCRIBER AGREEMENT (GSA)
On Exchange
HMO Metal Plan GSAHDHP (HMO) Metal Plan GSAPPO Metal Plan GSAHDHP (PPO) Metal Plan GSAEngage HMO GSA
Off Exchange
HMO Metal Plan GSAHDHP (HMO) Metal Plan GSAPPO Metal Plan GSAHDHP (PPO) Metal Plan GSAEngage HMO GSA
LEVEL FUNDED PLANS
LEVEL FUNDED SUMMARY OF BENEFITS AND COVERAGE (SBC)
LEVEL FUNDED HMO PLANS
LEVEL FUNDED PPO PLANS
LEVEL FUNDED ENGAGE PLANS
LEVEL FUNDED SUMMARY PLAN DESCRIPTIONS (SPD)
OPTIONAL BENEFITS
Health Savings Account (HSA) InformationVision Benefit SummaryStandard Option Dental Benefit SummaryHigh Option Dental Benefit SummaryDental Benefit Authorization Form
TRANSPARENCY IN COVERAGE
QUESTIONS?
Call our knowledgeable associates on our Employer/Producer hotline:
505-923-5656 or 1-866-246-9877
Submit Online Form Requesting Information
2022 Plan Information
APPLICATION KIT
PLAN OVERVIEWS
HMO & PPO RATES
METAL PLAN SUMMARY OF BENEFITS AND COVERAGE (SBC)
SMALL GROUP HMO PLANS
SMALL GROUP PPO PLANS
METAL PLAN GROUP SUBSCRIBER AGREEMENT (GSA)
On Exchange
Off Exchange
LEVEL FUNDED PLANS
LEVEL FUNDED SUMMARY OF BENEFITS AND COVERAGE (SBC)
LEVEL FUNDED HMO PLANS
LEVEL FUNDED PPO PLANS
LEVEL FUNDED SUMMARY PLAN DESCRIPTIONS (SPD)
LEVEL FUNDED HMO PLANS
LEVEL FUNDED PPO PLANS
OPTIONAL BENEFITS
TRANSPARENCY IN COVERAGE
QUESTIONS?
Call our knowledgeable associates on our Employer/Producer hotline:
