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    Group Insurance Plans

    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.

    2026 Plan Information

    APPLICATION KIT

    • Small Group Application Kit
    • Small Group Employer Application
    • Small Group Employee Action Form

    PLAN OVERVIEWS

    • HMO Small Group Overview
    • PPO Small Group Overview
    • Resource Guide

    Small Group Engage Plans webpage

    RATES

    • HMO Rates
    • PPO Rates

    2026 METAL PLAN SUMMARY OF BENEFITS AND COVERAGE (SBC)

    METAL PLAN GROUP SUBSCRIBER AGREEMENT (GSA)

    • HMO Metal Plan GSA
    • HDHP (HMO) Metal Plan GSA
    • PPO Metal Plan GSA
    • HDHP (PPO) Metal Plan GSA

    Level Funded Plans

    2026 LEVEL FUNDED SUMMARY OF BENEFITS AND COVERAGE (SBC)

    LEVEL FUNDED SUMMARY PLAN DESCRIPTIONS (SPD)

    • HMO SPD
    • HDHP (HMO) SPD
    • PPO SPD
    • HDHP (PPO) SPD

    OPTIONAL BENEFITS

    • Health Savings Account (HSA) Information
    • Vision Benefit Summary
    • Standard Option Dental Benefit Summary
    • High Option Dental Benefit Summary
    • Dental Benefit Authorization Form


    2025 Plan Information

    APPLICATION KIT

    • Small Group Application Kit
    • Small Group Employer Application
    • Small Group Employee Action Form

    PLAN OVERVIEWS

    • HMO Small Group Overview
    • PPO Small Group Overview
    • Engage Plan Overview
    • Resource Guide

    Small Group Engage Plan

    RATES

    • HMO Rates
    • PPO Rates
    • Engage Rates

    2025 METAL PLAN SUMMARY OF BENEFITS AND COVERAGE (SBC)

    METAL PLAN GROUP SUBSCRIBER AGREEMENT (GSA)

    • HMO Metal Plan GSA
    • HDHP (HMO) Metal Plan GSA
    • PPO Metal Plan GSA
    • HDHP (PPO) Metal Plan GSA
    • Engage Metal Plan GSA

    Level Funded Plans

    • Level Funded Booklet

    2025 LEVEL FUNDED SUMMARY OF BENEFITS AND COVERAGE (SBC)

    LEVEL FUNDED SUMMARY PLAN DESCRIPTIONS (SPD)

    • HMO SPD
    • HDHP (HMO) SPD
    • PPO SPD
    • HDHP (PPO) SPD
    • Engage SPD

    OPTIONAL BENEFITS

    • Health Savings Account (HSA) Information
    • Vision Benefit Summary
    • Standard Option Dental Benefit Summary
    • High Option Dental Benefit Summary
    • Dental Benefit Authorization Form

    TRANSPARENCY IN COVERAGE

    • Transparency in Coverage - Claims Payment Policies

    QUESTIONS?

    Call our knowledgeable associates on our Employer/Producer hotline:

    505-923-5656 or 1-866-246-9877

    Submit Online Form Requesting Information

    Is My Provider in-Network?

    Presbyterian Health Plan members can log into myPRES to determine which providers in Presbyterian’s network of more than 9,000 providers are covered by their plan.

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    Determined to Care For You

    Our providers offer access to over 50 specialties, including primary care, children’s care, women’s care, cancer care, heart and vascular care, surgery, behavioral health, urgent care and more.

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    What's Happening at Presbyterian

    Find out about the newest staff and the latest technology, and all the other happenings at Presbyterian.

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