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RBG, CHICAGO - PLANS
UNITEDHEALTHCARE TYPE RELEASED DOWNLOAD
Medical Plans
(01) Navigate PCPs & Referral Process
HMO 6/21/2015 Download
(02) 2-50 Signature Multi-Choice Package IL001
HMO 6/21/2015 Download
(03) 2-50 Elite Multi-Choice Package IL002
HMO 6/21/2015 Download
(04) 2-50 Signature Multi-Choice Package IL003
HMO 6/21/2015 Download
(05) 2-50 Elite Multi-Choice Package IL004
HMO 6/21/2015 Download
(06) 2-50 Signature Multi-Choice Package IL005
HMO 6/21/2015 Download
(07) 2-50 Elite Multi-Choice Package IL006
HMO 6/21/2015 Download
(08) 2-50 Elite II Multi-Choice Package IL007
HMO 6/21/2015 Download
(09) 2-50 Signature II Multi-Choice Package IL008
HMO 6/21/2015 Download
(10) 2-50 Prestige Multi-Choice Package IL009
HMO 6/21/2015 Download
(12) 2013/2014 IL/NWIN 51-99 Portfolio
HMO 6/26/2015 Download
(14) 2014 IL/NWIN 51-99 Portfolio
HMO 10/27/2015 Download
(15) 2015 IL/NWIN 51-99 Package A
HMO 10/27/2015 Download
(15) 2015 IL/NWIN 51-99 Package B
HMO 10/27/2015 Download
(15) 2015 IL/NWIN 51-99 Package C
HMO 10/27/2015 Download
(16) 2016 1-50 Prestige Multi-Choice Package IL010

Description:
Effective 1/1/16

HMO 11/25/2015 Download
(17) 2016 51-100 ATNE IL-NWIN Plan Grid 9.1.16
HMO 8/31/2016 Download
2014 Plan 532 (51-99)

Description:
HMO 20/100% Navigate

HMO 6/21/2015 Download
2014 Plan 533 (51-99)

Description:
HMO 20/250/100% Navigate

HMO 6/21/2015 Download
2014 Plan 534 (51-99)

Description:
HMO 20/500/100% Navigate

HMO 6/21/2015 Download
2014 Plan 535 (51-99)

Description:
HMO 20/1000/100% Navigate

HMO 6/21/2015 Download
2014 Plan 536 (51-99)

Description:
HMO 20/1500/100% Navigate

HMO 6/21/2015 Download
2014 Plan 537 (51-99)

Description:
HMO 30/2000/100% Navigate

HMO 6/21/2015 Download
2014 Plan 539 (51-99)

Description:
HMO 30/3000/100% Navigate

HMO 6/21/2015 Download
2014 Plan 541 (51-99)

Description:
HMO HSA 5000/80% Navigate Aggregate

HMO 6/21/2015 Download
2014 Plan 54B (51-99)

Description:
HMO 30/5000/100% Navigate

HMO 6/21/2015 Download
2014 Plan 54C (51-99)

Description:
HMO 20/80% Navigate

HMO 6/21/2015 Download
2014 Plan 54D (51-99)

Description:
HMO 20/250/80% Navigate

HMO 6/21/2015 Download
2014 Plan 54E (51-99)

Description:
HMO 20/500/80% Navigate

HMO 6/21/2015 Download
2014 Plan 54F (51-99)

Description:
HMO 20/1000/80% Navigate

HMO 6/21/2015 Download
2014 Plan 54H (51-99)

Description:
HMO 20/1500/80% Navigate

HMO 6/21/2015 Download
2014 Plan 54I (51-99)

Description:
HMO 30/2000/80% Navigate

HMO 6/21/2015 Download
2014 Plan 54J (51-99)

Description:
HMO 30/2500/80% Navigate

HMO 6/21/2015 Download
2014 Plan 54K (51-99)

Description:
HMO 30/3000/80% Navigate

HMO 6/21/2015 Download
2014 Plan 54L (51-99)

Description:
HMO 30/5000/80% Navigate

HMO 6/21/2015 Download
2014 Plan 54M (51-99)

Description:
HMO 20/60% Navigate

HMO 6/21/2015 Download
2014 Plan 54N (51-99)

Description:
HMO 20/250/60% Navigate

HMO 6/21/2015 Download
2014 Plan 54O (51-99)

Description:
HMO 20/500/60% Navigate

HMO 6/21/2015 Download
2014 Plan 54P (51-99)

Description:
HMO 20/1000/60% Navigate

HMO 6/21/2015 Download
2014 Plan 54Q (51-99)

Description:
HMO 20/1500/60% Navigate

HMO 6/21/2015 Download
2014 Plan 54R (51-99)

Description:
HMO 30/2000/60% Navigate

HMO 6/21/2015 Download
2014 Plan 54S (51-99)

Description:
HMO 30/2500/60% Navigate

HMO 6/21/2015 Download
2014 Plan 54T (51-99)

Description:
HMO 30/3000/60% Navigate

HMO 6/21/2015 Download
2014 Plan 54U (51-99)

Description:
HMO 30/5000/60% Navigate

HMO 6/21/2015 Download
2014 Plan 54V (51-99)

Description:
HMO HSA 2500/80% Navigate Embedded

HMO 6/21/2015 Download
2014 Plan 54W (51-99)

Description:
HMO HSA 3500/80% Navigate Embedded

HMO 6/21/2015 Download
2014 Plan 54X (51-99)

Description:
HMO HSA 5000/80% Navigate) Embedded

HMO 6/21/2015 Download
2014 Plan 54Y (51-99)

Description:
HMO HSA 2500/80% Navigate Aggregate

HMO 6/21/2015 Download
2014 Plan 54Z (51-99)

Description:
HMO HSA 3500/80% Navigate Aggregate

HMO 6/21/2015 Download
2014 Plan HEG (51-99)

Description:
HMO 25-100% Navigate

HMO 6/21/2015 Download
Plan 35L Gold (Signature II MC IL008/NW002)

Description:
(HMO 25/2000/80% Navigate)

HMO 6/26/2015 Download
Plan 35M Gold (Signature II MC IL008/NW002)

Description:
(HMO 30/1000/70% Navigate)

HMO 6/26/2015 Download
Plan GO2 Platinum (Elite II MC IL007/NW001)

Description:
HMO 25/100% Navigate

HMO 6/26/2015 Download
Plan GO3 Gold (Elite II MC IL007/NW001)

Description:
HMO 35/1000/90% Navigate

HMO 6/26/2015 Download
Plan GO4 Gold (Elite II MC IL007/NW001)

Description:
HMO 25/2000/90% Navigate

HMO 6/26/2015 Download
Plan GO5 Gold (Elite II MC IL007/NW001)

Description:
HMO 35/500/80% Navigate

HMO 6/26/2015 Download
Plan GO5 Gold (Signature II MC IL008/NW002)

Description:
HMO 35/500/80% Navigate

HMO 6/26/2015 Download
Plan GO6 Gold (Elite II MC IL007/NW001)

Description:
HMO 35/1000/80% Navigate

HMO 6/26/2015 Download
Plan GO6 Gold (Signature II MC IL008/NW002)

Description:
HMO 35/1000/80% Navigate

HMO 6/26/2015 Download
Plan GO7 Gold (Elite II MC IL007/NW001)

Description:
HMO 25/1500/80% Navigate

HMO 6/26/2015 Download
Plan GO7 Gold (Signature II MC IL008/NW002)

Description:
HMO 25/1500/80% Navigate

HMO 6/26/2015 Download
2014 Plan 04L (51-99)

Description:
Non-Differential PPO 2000/80%

PPO 6/21/2015 Download
2014 Plan 0XJ (51-99)

Description:
Balanced 50/1500/50% Choice Plus

PPO 6/21/2015 Download
2014 Plan 0XK (51-99)

Description:
Balanced 50/2000/50% Choice Plus

PPO 6/21/2015 Download
2014 Plan 0XL (51-99)

Description:
Balanced 70/1500/50% Choice Plus

PPO 6/21/2015 Download
2014 Plan 0XM (51-99)

Description:
Balanced 70/2000/50% Choice Plus

PPO 6/21/2015 Download
2014 Plan 1I7 (51-99)

Description:
Consumer 50% Choice Plus

PPO 6/21/2015 Download
2014 Plan 2J7 (51-99)

Description:
HSA 3000/50% Choice Plus Embedded

PPO 6/21/2015 Download
2014 Plan 2PH (51-99)

Description:
Non-Differential PPO 1000/80%

PPO 6/21/2015 Download
2014 Plan 2WU (51-99)

Description:
FlexPoint (Premier 25/1000/80% Choice Plus)

PPO 6/21/2015 Download
2014 Plan 2WV (51-99)

Description:
(FlexPoint) Premier 30/2000/80% Choice Plus

PPO 6/21/2015 Download
2014 Plan 2WW (51-99)

Description:
(FlexPoint) Premier 35/5000/80% Choice Plus

PPO 6/21/2015 Download
2014 Plan 521 (51-99)

Description:
HSA 2500/100% CORE Embedded

PPO 6/21/2015 Download
2014 Plan 522 (51-99)

Description:
HSA 30/2500/100% CORE Embedded

PPO 6/21/2015 Download
2014 Plan 523 (51-99)

Description:
HSA 3000/100% CORE Embedded

PPO 6/21/2015 Download
2014 Plan 524 (51-99)

Description:
HSA 5000/100% CORE Embedded

PPO 6/21/2015 Download
2014 Plan 525 (51-99)

Description:
HSA 30/5000/100% CORE Embedded

PPO 6/21/2015 Download
2014 Plan 526 (51-99)

Description:
HSA 6350/100% CORE Embedded

PPO 6/21/2015 Download
2014 Plan 527 (51-99)

Description:
HSA 2500/80% CORE Embedded

PPO 6/21/2015 Download
2014 Plan 528 (51-99)

Description:
HSA 3000/80% CORE Embedded

PPO 6/21/2015 Download
2014 Plan 529 (51-99)

Description:
HSA 3500/80% CORE Embedded

PPO 6/21/2015 Download
2014 Plan 52B (51-99)

Description:
HSA 2500/100% Choice Plus Embedded $2500 OOP

PPO 6/21/2015 Download
2014 Plan 52C (51-99)

Description:
HSA 2500/100% Choice Plus Embedded $3,500 OOP

PPO 6/21/2015 Download
2014 Plan 52D (51-99)

Description:
HSA 30/2500/100% Choice Plus Embedded

PPO 6/21/2015 Download
2014 Plan 52E (51-99)

Description:
HSA 3000/100% Choice Plus Embedded

PPO 6/21/2015 Download
2014 Plan 52F (51-99)

Description:
HSA 5000/100% Choice Plus Embedded

PPO 6/21/2015 Download
2014 Plan 52G (51-99)

Description:
HSA 30/5000/100% Choice Plus Embedded

PPO 6/21/2015 Download
2014 Plan 52H (51-99)

Description:
HSA 6350/100% Choice Plus Embedded

PPO 6/21/2015 Download
2014 Plan 52I (51-99)

Description:
HSA 2500/80% Choice Plus Embedded

PPO 6/21/2015 Download
2014 Plan 52J (51-99)

Description:
HSA 3000/80% Choice Plus Embedded

PPO 6/21/2015 Download
2014 Plan 52K (51-99)

Description:
HSA 3500/80% Choice Plus Embedded

PPO 6/21/2015 Download
2014 Plan 52L (51-99)

Description:
HSA 5000/80% Choice Plus Embedded

PPO 6/21/2015 Download
2014 Plan 52M (51-99)

Description:
HSA 2000/100% Choice Plus Aggregate

PPO 6/21/2015 Download
2014 Plan 52N (51-99)

Description:
HSA 2500/100% Choice Plus Aggregate $2,500 OOP

PPO 6/21/2015 Download
2014 Plan 52O (51-99)

Description:
HSA 2500/100% Choice Plus Aggregate $3,500 OOP

PPO 6/21/2015 Download
2014 Plan 52P (51-99)

Description:
HSA 30/2500/100% Choice Plus Aggregate

PPO 6/21/2015 Download
2014 Plan 52Q (51-99)

Description:
HSA 3000/100% Choice Plus Aggregate

PPO 6/21/2015 Download
2014 Plan 52R (51-99)

Description:
HSA 5000/100% Choice Plus Aggregate

PPO 6/21/2015 Download
2014 Plan 52S (51-99)

Description:
HSA 30/5000/100% Choice Plus Aggregate

PPO 6/21/2015 Download
2014 Plan 52T (51-99)

Description:
HSA 6350/100% Choice Plus Aggregate

PPO 6/21/2015 Download
2014 Plan 52U (51-99)

Description:
HSA 2500/80% Choice Plus Aggregate

PPO 6/21/2015 Download
2014 Plan 52V (51-99)

Description:
HSA 3000/80% Choice Plus Aggregate

PPO 6/21/2015 Download
2014 Plan 52W (51-99)

Description:
HSA 3500/80% Choice Plus Aggregate

PPO 6/21/2015 Download
2014 Plan 52X (51-99)

Description:
HSA 5000/80% Choice Plus Aggregate

PPO 6/21/2015 Download
2014 Plan 52Y (51-99)

Description:
HSA 3000/50% Choice Plus Aggregate

PPO 6/21/2015 Download
2014 Plan 52Z (51-99)

Description:
HSA 2500/100% CORE Embedded

PPO 6/21/2015 Download
2014 Plan 531 (51-99)

Description:
Balanced 50/5000/50% CORE

PPO 6/22/2015 Download
2014 Plan 53A (51-99)

Description:
HSA 5000/80% CORE Embedded

PPO 6/22/2015 Download
2014 Plan 53B (51-99)

Description:
HSA 3000/50% CORE Embedded

PPO 6/22/2015 Download
2014 Plan 53C (51-99)

Description:
HSA 2000/100% CORE Aggregate

PPO 6/22/2015 Download
2014 Plan 53D (51-99)

Description:
HSA 2500/100% CORE Aggregate

PPO 6/22/2015 Download
2014 Plan 53E (51-99)

Description:
HSA 2500/100% CORE Aggregate

PPO 6/22/2015 Download
2014 Plan 53F (51-99)

Description:
HSA 30/2500/100% CORE Aggregate

PPO 6/22/2015 Download
2014 Plan 53G (51-99)

Description:
HSA 3000/100% CORE Aggregate

PPO 6/22/2015 Download
2014 Plan 53H (51-99)

Description:
HSA 5000/100% CORE Aggregate

PPO 6/22/2015 Download
2014 Plan 53I (51-99)

Description:
HSA 30/5000/100% CORE Aggregate

PPO 6/22/2015 Download
2014 Plan 53J (51-99)

Description:
HSA 6350/100% CORE Aggregate

PPO 6/22/2015 Download
2014 Plan 53K (51-99)

Description:
HSA 2500/80% CORE Aggregate

PPO 6/22/2015 Download
2014 Plan 53L (51-99)

Description:
HSA 3000/80% CORE Aggregate

PPO 6/22/2015 Download
2014 Plan 53M (51-99)

Description:
HSA 3500/80% CORE Aggregate

PPO 6/22/2015 Download
2014 Plan 53N (51-99)

Description:
HSA 5000/80% CORE Aggregate

PPO 6/22/2015 Download
2014 Plan 53O (51-99)

Description:
HSA 3000/50% CORE Aggregate

PPO 6/22/2015 Download
2014 Plan 53P (51-99)

Description:
Consumer 2000/80% Choice Plus

PPO 6/22/2015 Download
2014 Plan 53Q (51-99)

Description:
Consumer 5000/80% Choice Plus

PPO 6/22/2015 Download
2014 Plan 53S (51-99)

Description:
Consumer 2000/80% CORE

PPO 6/22/2015 Download
2014 Plan 53T (51-99)

Description:
Consumer 5000/80% CORE

PPO 6/22/2015 Download
2014 Plan 53U (51-99)

Description:
Consumer 50% CORE

PPO 6/22/2015 Download
2014 Plan 53V (51-99)

Description:
Balanced 50/2000/50% Choice Plus

PPO 6/22/2015 Download
2014 Plan 53W (51-99)

Description:
Balanced 50/3000/50% Choice Plus

PPO 6/22/2015 Download
2014 Plan 53X (51-99)

Description:
Balanced 50/5000/50% Choice Plus

PPO 6/22/2015 Download
2014 Plan 53Y (51-99)

Description:
Balanced 50/2000/50% CORE

PPO 6/22/2015 Download
2014 Plan 53Z (51-99)

Description:
Balanced 50/3000/50% CORE

PPO 6/22/2015 Download
2014 Plan 542 (51-99)

Description:
Premier 20/100% Choice Plus

PPO 6/22/2015 Download
2014 Plan 543 (51-99)

Description:
Premier 20/250/100% Choice Plus

PPO 6/22/2015 Download
2014 Plan 544 (51-99)

Description:
Premier 20/500/100% Choice Plus

PPO 6/22/2015 Download
2014 Plan 545 (51-99)

Description:
Premier 20/1000/100% Choice Plus

PPO 6/22/2015 Download
2014 Plan 546 (51-99)

Description:
Premier 20/1500/100% Choice Plus

PPO 6/22/2015 Download
2014 Plan 547 (51-99)

Description:
Premier 30/2000/100% Choice Plus

PPO 6/22/2015 Download
2014 Plan 548 (51-99)

Description:
Premier 30/2500/100% Choice Plus

PPO 6/22/2015 Download
2014 Plan 549 (51-99)

Description:
Premier 30/3000/100% Choice Plus

PPO 6/22/2015 Download
2014 Plan 551 (51-99)

Description:
Premier 30/5000/100% Choice Plus

PPO 6/22/2015 Download
2014 Plan 552 (51-99)

Description:
Premier 20/80% Choice Plus

PPO 6/22/2015 Download
2014 Plan 553 (51-99)

Description:
Premier 20/250/80% Choice Plus

PPO 6/22/2015 Download
2014 Plan 554 (51-99)

Description:
Premier 20/500/80% Choice Plus

PPO 6/22/2015 Download
2014 Plan 555 (51-99)

Description:
Premier 20/1000/80% Choice Plus

PPO 6/22/2015 Download
2014 Plan 556 (51-99)

Description:
Premier 20/1500/80% Choice Plus

PPO 6/22/2015 Download
2014 Plan 557 (51-99)

Description:
Premier 30/2000/80% Choice Plus

PPO 6/22/2015 Download
2014 Plan 558 (51-99)

Description:
Premier 30/2500/80% Choice Plus

PPO 6/22/2015 Download
2014 Plan 559 (51-99)

Description:
Premier 30-3000-80% Choice Plus

PPO 6/22/2015 Download
2014 Plan 55W (51-99)

Description:
Premier 30/5000/80% Choice Plus

PPO 6/22/2015 Download
2014 Plan 55X (51-99)

Description:
Premier 20/60% Choice Plus

PPO 6/22/2015 Download
2014 Plan 55Y (51-99)

Description:
Premier 20/250/60% Choice Plus

PPO 6/22/2015 Download
2014 Plan 55Z (51-99)

Description:
Premier 20/500/60% Choice Plus

PPO 6/22/2015 Download
2014 Plan 561 (51-99)

Description:
Premier 20/1000/60% Choice Plus

PPO 6/22/2015 Download
2014 Plan 562 (51-99)

Description:
Premier 20/1500/60% Choice Plus

PPO 6/22/2015 Download
2014 Plan 563 (51-99)

Description:
Premier 30/2000/60% Choice Plus

PPO 6/22/2015 Download
2014 Plan 564 (51-99)

Description:
Premier 30/2500/60% Choice Plus

PPO 6/22/2015 Download
2014 Plan 565 (51-99)

Description:
Premier 30/3000/60% Choice Plus

PPO 6/26/2015 Download
2014 Plan 566 (51-99)

Description:
Premier 30/5000/60% Choice Plus

PPO 6/26/2015 Download
2014 Plan 567 (51-99)

Description:
Premier 20/100% CORE

PPO 6/22/2015 Download
2014 Plan 568 (51-99)

Description:
Premier 20/250/100% CORE

PPO 6/26/2015 Download
2014 Plan 569 (51-99)

Description:
Premier 20/500/100% CORE

PPO 6/22/2015 Download
2014 Plan 571 (51-99)

Description:
Premier 20/1500/100% CORE

PPO 6/22/2015 Download
2014 Plan 572 (51-99)

Description:
Premier 30/2000/100% CORE

PPO 6/26/2015 Download
2014 Plan 573 (51-99)

Description:
Premier 30/2500/100% CORE

PPO 6/26/2015 Download
2014 Plan 574 (51-99)

Description:
Premier 30/3000/100% CORE

PPO 6/26/2015 Download
2014 Plan 575 (51-99)

Description:
Premier 30/5000/100% CORE

PPO 6/26/2015 Download
2014 Plan 576 (51-99)

Description:
Premier 20/80% CORE

PPO 6/26/2015 Download
2014 Plan 577 (51-99)

Description:
Premier 20/250/80% CORE

PPO 6/21/2015 Download
2014 Plan 578 (51-99)

Description:
Premier 20/500/80% CORE

PPO 6/22/2015 Download
2014 Plan 579 (51-99)

Description:
Premier 20/1000/80% CORE

PPO 6/26/2015 Download
2014 Plan 57W (51-99)

Description:
Premier 30/2000/80% Choice Plus

PPO 6/26/2015 Download
2014 Plan 57X (51-99)

Description:
Premier 30/2000/80% CORE

PPO 6/26/2015 Download
2014 Plan 57Y (51-99)

Description:
Premier 30/2500/80% CORE

PPO 6/26/2015 Download
2014 Plan 57Z (51-99)

Description:
Premier 30/3000/80% CORE

PPO 6/26/2015 Download
2014 Plan 581 (51-99)

Description:
Premier 20/1000/60% CORE

PPO 6/26/2015 Download
2014 Plan 582 (51-99)

Description:
Premier 20/1500/60% CORE

PPO 6/26/2015 Download
2014 Plan 583 (51-99)

Description:
Premier 30/2000/60% CORE

PPO 6/26/2015 Download
2014 Plan 584 (51-99)

Description:
Premier 30/2500/60% CORE

PPO 6/26/2015 Download
2014 Plan 585 (51-99)

Description:
Premier 30/3000/60% CORE

PPO 6/26/2015 Download
2014 Plan 586 (51-99)

Description:
Premier 30/5000/60% CORE

PPO 6/26/2015 Download
2014 Plan 58W (51-99)

Description:
Premier 30/5000/80% CORE

PPO 6/26/2015 Download
2014 Plan 58X (51-99)

Description:
Premier 20/60% CORE

PPO 6/26/2015 Download
2014 Plan 58Y (51-99)

Description:
Premier 20/250/60% CORE

PPO 6/26/2015 Download
2014 Plan 58Z (51-99)

Description:
Premier 20/500/60% CORE

PPO 6/26/2015 Download
2014 Plan HDV (51-99)

Description:
(Balanced 30-1500-80% Choice Plus)

PPO 6/26/2015 Download
Plan DOC Platinum (Elite II MC IL007/NW001)

Description:
(Traditional 25/100% CORE)

PPO 6/26/2015 Download
Plan DOD Gold (Elite II MC IL007/NW001)

Description:
(Trad w/ Deductible 30/250/80% Choice Plus)

PPO 6/26/2015 Download
Plan DOE Gold (Elite II MC IL007/NW001)

Description:
(Trad w/ Deductible 35/500/90% Choice Plus)

PPO 6/26/2015 Download
Plan DOF Gold (Elite II MC IL007/NW001)

Description:
(Trad w/ Deductible 35/500/80% Choice Plus)

PPO 6/26/2015 Download
Plan DOG Gold (Elite II MC IL007/NW001)

Description:
(Trad w/ Deductible 30/500/80% CORE)

PPO 6/26/2015 Download
Plan DOH Gold (Elite II MC IL007/NW001)

Description:
(Balanced 30-1000-80% Choice Plus)

PPO 6/26/2015 Download
Plan DOI Gold (Elite II MC IL007/NW001)

Description:
(Balanced 35/1000/80% Choice Plus)

PPO 6/26/2015 Download
Plan DOJ Gold (Elite II MC IL007/NW001)

Description:
(HSA 1500/100% Choice Plus) Aggregate

PPO 6/26/2015 Download
Plan DOK Gold (Elite II MC IL007/NW001)

Description:
(Balanced 100 30/1500/100% Choice Plus)

PPO 6/26/2015 Download
Plan DOL Gold (Elite II MC IL007/NW001)

Description:
(Balanced 35/1500/80% Choice Plus)

PPO 6/26/2015 Download
Plan DOM Gold (Elite II MC IL007/NW001)

Description:
(Balanced 100 30/2000/100% Choice Plus)

PPO 6/26/2015 Download
Plan DON Gold (Elite II MC IL007/NW001)

Description:
(HRA 2000/75% Choice Plus)

PPO 6/26/2015 Download
Plan DOO Gold (Elite II MC IL007/NW001)

Description:
(Balanced 30/2000/80% Choice Plus)

PPO 6/26/2015 Download
Plan DOP Silver (Elite II MC IL007/NW001)

Description:
(HSA 2500/100% Choice Plus) Aggregate

PPO 6/26/2015 Download
Plan DOQ Gold (Elite II MC IL007/NW001)

Description:
(Balanced 25/1000/90% Choice Plus)

PPO 6/26/2015 Download
Plan DOR Gold (Elite II MC IL007/NW001)

Description:
(Trad w/ Deductible 30/250/70% CORE)

PPO 6/26/2015 Download
Plan DOS Gold (Elite II MC IL007/NW001)

Description:
(Balanced 35/750/80% Choice Plus)

PPO 6/26/2015 Download
Plan DOT Gold (Elite II MC IL007/NW001)

Description:
(Balanced 30/1000/60% CORE)

PPO 6/26/2015 Download
Plan DOU Silver (Elite II MC IL007/NW001)

Description:
(HSA 3000/50% Choice Plus) Aggregate

PPO 6/26/2015 Download
Plan DOV Silver (Elite II MC IL007/NW001)

Description:
(Balanced 40/2000/50% CORE)

PPO 6/26/2015 Download
Plan DOW Gold (Elite II MC IL007/NW001)

Description:
(Trad w/ Deductible 30/250/80% CORE)

PPO 6/26/2015 Download
Plan DOX Gold (Elite II MC IL007/NW001)

Description:
(Trad w/ Deductible 35/500/90% CORE)

PPO 6/26/2015 Download
Plan DOY Gold (Elite II MC IL007/NW001)

Description:
(Trad w/ Deductible 35/500/80% CORE)

PPO 6/26/2015 Download
Plan DOZ Gold (Elite II MC IL007/NW001)

Description:
(Balanced 30-1000-80% CORE)

PPO 6/26/2015 Download
Plan GJ3 Gold (Elite II MC IL007/NW001)

Description:
(Balanced 35/1000/80% CORE)

PPO 6/26/2015 Download
Plan GJ4 Gold (Elite II MC IL007/NW001)

Description:
(HSA 1500/100% CORE) Aggregate

PPO 6/26/2015 Download
Plan GJ5 Gold (Elite II MC IL007/NW001)

Description:
(Balanced 100 30/1500/100% CORE)

PPO 6/26/2015 Download
Plan GJ6 Gold (Elite II MC IL007/NW001)

Description:
(Balanced 35/1500/80% CORE)

PPO 6/26/2015 Download
Plan GJ7 Gold (Elite II MC IL007/NW001)

Description:
(Balanced 100 30/2000/100% CORE)

PPO 6/26/2015 Download
Plan GJ8 Gold (Elite II MC IL007/NW001)

Description:
(HRA 2000/75% CORE)

PPO 6/26/2015 Download
Plan GJ9 Gold (Elite II MC IL007/NW001)

Description:
(Balanced 30/2000/80% CORE)

PPO 6/26/2015 Download
Plan GK1 Silver (Elite II MC IL007/NW001)

Description:
(HSA 2500/100% CORE) Aggregate

PPO 6/26/2015 Download
Plan GK2 Gold (Elite II MC IL007/NW001)

Description:
(Balanced 35/750/80% CORE)

PPO 6/26/2015 Download
Plan GK3 Silver (Elite II MC IL007/NW001)

Description:
(HSA 3000/50% CORE) Aggregate

PPO 6/26/2015 Download
Other Plans
(2011) 2V Rx $10/35/60
N/A 11/29/2015 Download
(2011) 3B Rx $15/35/60
N/A 11/29/2015 Download
(2011) 51 Rx $20/50/100
N/A 11/29/2015 Download
(2011) DS Rx $15/45/85/200
N/A 11/29/2015 Download
(2011) EU Rx $10/40/75/125
N/A 11/29/2015 Download
(2011) H9 Rx $10/30/50
N/A 11/29/2015 Download
(2011) IU Rx $15/40/75
N/A 11/29/2015 Download
(2014) 7M Rx $10/30/50
N/A 11/29/2015 Download
(2014) J7 Rx $15/40/75
N/A 11/29/2015 Download
(2014) KE Rx $20/45/80
N/A 11/29/2015 Download