| | https://www.aetnacvshealth.com/documents/2024-IFP-769859_67190DE0100009-00_SBC.pdf |
| | https://www.cpg.org/globalassets/documents/publications/health-anthem-bcbs-ppo-90-summary-2024.pdf |
| Consumer-Directed Health Plan-40/Health Savings Account | https://www.cpg.org/globalassets/documents/publications/health-anthem-bcbs-cdhp-40-summary-2024.pdf |
Anthem BlueCross and BlueShield | BlueClassic PPO 29 30/60/6000/8000/70% $15/50/75/30% Essential Tiered Rx | https://onepointhro.com/documents/2024%20Anthem%20PPO%2029%20SBC.pdf |
Anthem BlueCross and BlueShield | BlueClassic PPO 21 30/60/3000/6500/70% $15/50/75/30% Essential Tiered Rx | https://onepointhro.com/documents/2024%20Anthem%20PPO%2021%20SBC.pdf |
Anthem BlueCross and BlueShield | Health Savings Account HSA Compatible PPO Plan 34AE $15/50/75/30% Essential Tiered Rx HSA | https://onepointhro.com/documents/2024%20Anthem%20HDHP%20SBC.pdf |
Cigna Health and Life Insurance Co. | | https://www.nyc.gov/assets/olr/downloads/pdf/health/sbcs24-25/sbc-cigna-basic-with-rx-2024-2025.pdf |
Cigna Health and Life Insurance Co. | Connect Bronze 8500 Indiv Med Deductible | https://www.cigna.com/static/www-cigna-com/docs/ifp/m-24-sbc-tn-944762-b-connect8500.pdf |
Cigna Health and Life Insurance Co. | Cigna Connect Flex Silver 5750 (150-200% FPL) | https://www.cigna.com/static/www-cigna-com/docs/ifp/m-24-sbc-co-944406-s-connectflex5750-150.pdf |
Cigna Health and Life Insurance Co. | | https://www.du.edu/file/88349 |
Cigna Health and Life Insurance Co. | Cigna Connect Flex Silver 2750 Rx Copay (100-150% FPL) | https://www.cigna.com/static/www-cigna-com/docs/ifp/m-24-sbc-co-944417-s-connectflex2750rx-100.pdf |
Cigna Health and Life Insurance Co. | Choice Fund Open Access Plus IN | https://files-backend.assets.thrillshare.com/documents/asset/uploaded_file/5485/Lps/6ec5f4fb-ef85-460d-8e09-59aa986286c1/2024-2025-SBC-HDHPQ-OAPIN-English.pdf?disposition=inline |
Cigna Health and Life Insurance Co. | Cigna Connect Flex Silver 5750 (200-250% FPL) | https://www.cigna.com/static/www-cigna-com/docs/ifp/m-24-sbc-co-944405-s-connectflex5750-200.pdf |
Cigna Health and Life Insurance Co. | Cigna Connect Colorado Option Bronze | https://www.cigna.com/static/www-cigna-com/docs/ifp/m-24-sbc-co-944426-b-connectoption.pdf |
| Colorado Option Bronze Off Exchange | https://www.denverhealthmedicalplan.org/sites/default/files/2023-10/SBC_ENG_DHMP_66699CO0070003-00_COSP_20240101.pdf |
| Peak Colorado Option Gold | https://www.denverhealthmedicalplan.org/sites/default/files/2023-10/SBC_ENG_DHMP_66699CO0160001-01_COSP_20240101.pdf |
| Colorado Option Gold Off Exchange | https://www.denverhealthmedicalplan.org/sites/default/files/2023-10/SBC_ENG_DHMP_66699CO0070001-00_COSP_20240101.pdf |
| Colorado Option Silver 94% | https://www.denverhealthmedicalplan.org/sites/default/files/2023-10/SBC_ENG_DHMP_66699CO0070002-06_COSP_20240101.pdf |
Denver Health Medical Plan | Denver Health and Hospital Authority | https://www.denverhealthmedicalplan.org/sites/default/files/2024-06/SBC%20-%20Medical%20Care%20HMO%20PY%202024.6-24.pdf |
Denver Health Medical Plan | Denver Health and Hospital Authority | https://www.denverhealthmedicalplan.org/sites/default/files/2023-10/HighPoint%20POS%20PY%202024.pdf |
Denver Health Medical Plan | Denver Health and Hospital Authority HighPoint HMO | https://www.denverhealthmedicalplan.org/sites/default/files/2024-06/SBC%20-%20HighPoint%20HMO%20PY%202024.6-24.pdf |
Denver Health Medical Plan | | https://www.denverhealthmedicalplan.org/sites/default/files/2023-10/SBC_ENG_DHMP_66699CO0070003-01_COSP_20240101.pdf |
Denver Health Medical Plan | Denver Health and Hospital Authority | https://www.denverhealthmedicalplan.org/sites/default/files/2023-10/Medical%20Care%20HMO%20PY%202024.pdf |
| Genesis DHMO - $1,250 Plan | https://assets.speakcdn.com/assets/2492/kaiser_colorado_-_kpco_2024_genesis_sbc_dhmo_$1250.pdf |
| KP Select CO Silver 2200/25 | https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/co/individual-family/2024/21032CO0410030-01-en-2024.pdf |
| KP Select CO Bronze 8500/50 - AI/0 | https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/co/individual-family/2024/21032CO0410052-02-en-2024.pdf |
| KP Colorado Option Bronze | https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/co/individual-family/2024/21032CO1040003-01-en-2024.pdf |
| KP Select CO Silver 4400/30/ HSA | https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/co/sg/2024/21032CO0710080-01-en-2024.pdf |
| KP Select CO Gold 2000/20 | https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/co/individual-family/2024/21032CO0410063-00-en-2024.pdf |
| KP Select CO Silver 75/10/94% CSR | https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/co/individual-family/2024/21032CO0410058-06-en-2024.pdf |
| KP CO Silver 3T POS 3000/45 RX Copay | https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/co/sg/2024/21032CO0390003-00-en-2024.pdf |
| KPLF Plus 1500 / 15% / 4000 | https://levelfunded.kaiserpermanente.org/wp-content/uploads/2024/09/2024_GADEPOPlus_1500_15_4000.pdf |
| | https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/co/sg/2024/21032CO1030007-00-en-2024.pdf |
| KP Select CO Silver 3700/20%/HSA | https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/co/individual-family/2024/21032CO0410032-01-en-2024.pdf |
| KPLF HDHP 3500 / 20% / 3500 | https://levelfunded.kaiserpermanente.org/wp-content/uploads/2024/09/2024_COHDHP_3500_20_6500.pdf |
| KP Colorado Option Silver 73% AV | https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/co/individual-family/2024/21032CO1040002-04-en-2024.pdf |
| KPLF POS 3000 / 30% / 5000 | https://levelfunded.kaiserpermanente.org/wp-content/uploads/2024/09/2024_COPOS_3000_30_5000.pdf |
| | https://choose.kaiserpermanente.org/content/dam/kp/secondsales/microsites/contents/pdf/transformmidco/Transform_SBC_CO_HDHP_2024.pdf |
| KP CO Bronze PPO 7000/60 RX Copay | https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/co/sg/2024/35944CO0020003-00-en-2024.pdf |
| KP CO Platinum DHMO Plus 250/20 | https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/co/sg/2024/21032CO0790157-00-en-2024.pdf |
| KPLF PPO HDHP 5500 / 40% / 7000 | https://levelfunded.kaiserpermanente.org/wp-content/uploads/2024/09/2024_COPPOHDHP_5500_40_7000.pdf |
| KP Select CO Bronze 6250/50/ HSA | https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/co/sg/2024/21032CO0710031-00-en-2024.pdf |
| KP Select CO Silver 2200/25/73% CSR | https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/co/individual-family/2024/21032CO0410030-04-en-2024.pdf |
| KPLF HDHP 2000 / 20% / 4000 | https://levelfunded.kaiserpermanente.org/wp-content/uploads/2024/09/2024_COHDHP_2000_20_4000.pdf |
| KP CO Silver 4400/30/ HSA | https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/co/sg/2024/21032CO0710088-01-en-2024.pdf |
| KP Colorado Option Silver | https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/co/individual-family/2024/21032CO1040002-01-en-2024.pdf |
| | https://levelfunded.kaiserpermanente.org/wp-content/uploads/2024/09/2024_COEPOPlus_0_30_4500.pdf |
| | https://mountainhealth.coop/wp-content/uploads/plans/2024/2024_SG_MT_PLUS_BRONZE_EXPANDED_SBC.pdf |
| | https://mountainhealth.coop/wp-content/uploads/plans/2024/2024_IND_MT_ROCKY_MOUNTAIN_SILVER_87_SBC.pdf |
| | https://d2ed110nmrd591.cloudfront.net/blobs/KMvu1B7hzshocoqx8ESqqLmV.pdf |
| Navigator Gold 300+35_30 S4 | https://pacificsource.com/media/35231 |
| Navigator Platinum 300+25_20 S4 | https://pacificsource.com/media/35171 |
| | https://d2ed110nmrd591.cloudfront.net/blobs/muZo8oDXQQT6CnqqZ447Epyq.pdf |
| Navigator Gold 500+35_20 S4 | https://pacificsource.com/media/35201 |
Rocky Mountain Health Maintenance Organization Inc. | RMHP Valley Bronze Value HSA | https://www.uhc.com/ifp/sbc.97879CO0440016-01.en.2024 |
Rocky Mountain Health Maintenance Organization Inc. | Colorado Doctors Plan Colorado Option Silver | https://irp.cdn-website.com/5a2a8f00/files/uploaded/RMHP%20Colorado%20Doctors%20Plan%20Colorado%20Option%20Silver-b7a23bfb.pdf |
Rocky Mountain Health Maintenance Organization Inc. | RMHP Monument One Colorado Option Silver | https://irp.cdn-website.com/5a2a8f00/files/uploaded/RMHP%20Monument%20One%20Colorado%20Option%20Silver%20CSR.pdf |
Rocky Mountain Health Maintenance Organization Inc. | Colorado Doctors Plan Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, Rx Copay) | https://irp.cdn-website.com/5a2a8f00/files/uploaded/RMHP%20Colorado%20Doctors%20Plan%20Gold%20Value.pdf |
Rocky Mountain Health Maintenance Organization Inc. | Valley Colorado Option Silver | https://irp.cdn-website.com/5a2a8f00/files/uploaded/RMHP%20Valley%20Colorado%20Option%20Silver%20CSR.pdf |
Rocky Mountain Health Maintenance Organization Inc. | Colorado Doctors Plan Bronze Essential | https://irp.cdn-website.com/5a2a8f00/files/uploaded/RMHP%20Colorado%20Doctors%20Plan%20Bronze%20Essential.pdf |
Rocky Mountain Health Maintenance Organization Inc. | RMHP Colorado Doctors Plan Colorado Option Gold | https://irp.cdn-website.com/5a2a8f00/files/uploaded/RMHP%20Colorado%20Doctors%20Plan%20Colorado%20Option%20Gold.pdf |
| Value Benchmark Expanded Bronze Copay Plan | https://selecthealth.org/files/sbc/I40A1982_20240101_GGGGGGGG_GGGG_SSSS.pdf |
| Select Health Value Silver $3200 Medical Deductible - 73% AV | https://selecthealth.org/files/sbc/I44A0061_20240101_GGGGGGGG_GGGG_SSSS.pdf |
| | https://selecthealth.org/files/sbc/I33C0030_20240101_GGGGGGGG_GGGG_SSSS.pdf |
| Med Gold 1000 - no referrals or deductible for office visits | https://selecthealth.org/files/sbc/I32A0071_20240101_GGGGGGGG_GGGG_SSSS.pdf |
| FEHB: HDHP Option (Code WX) | https://files.selecthealth.cloud/api/public/content/2024_sbc_hdhp_option.pdf?v=400ab41d |
| HSA Choice Plus DJQ8 MOD2 / C26 MOD | https://www.macc.edu/wp-content/uploads/2024/05/910621_Moberly-Area-Community-College_FI_07-01-2024_MO_Choice-Plus_DJQ8-MOD2.pdf |
| 2024 Choice Plus HSA Plan | https://d36ps6jii4qpju.cloudfront.net/files/a8bf7fce76b4f0fd0d878a8b8b151bd8-FILE.pdf?response-content-disposition=inline%3B+filename%3D%22Choice_Plus_HDHP_-_SBC_-_2024_flipped.pdf%22&response-content-type=application%2Fpdf&version=1746047492 |
| HSA Choice Plus DNP3 Mod / 200 Mod | https://www.darienct.gov/DocumentCenter/View/3759/UnitedHealthcare-2024-2025-Summary-of-Benefits-and-Coverage-QA---2500-to-5000-Deductible-PDF |
| | https://files.smartsites.parentsquare.com/9347/2024-25-summary-of-benefits-coverage-hsa.pdf |
UnitedHealthcare Insurance Company, Inc. | | https://www.uhcfeds.com/content/dam/premember/federal/officials-pdfs/sbc/2024-fehb-sbc-ls-lu-v4.pdf |
