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RBG, SAN JOSE - PLANS
PRINCIPAL FINANCIAL GROUP TYPE RELEASED DOWNLOAD
Medical Plans
$1000/$3000 70/50% $4000/$6000 $20 Copay

Description:
Option #743 Admar (3/04)

PPO 3/23/2004 Download
$1000/$3000 80/60% $2500/$5000 $20 Copay

Description:
Option #739 Admar (3/04)

PPO 3/23/2004 Download
$1000/$3000, $30/$45, 70/50%, $4000/$6000

Description:
Option #905 Admar (3/04)

PPO 3/23/2004 Download
$1000/$3000, $30/$45, 80/60%, $3000/$5000

Description:
Option #904 Admar (3/04)

PPO 3/23/2004 Download
$1500/$3000, $30/$45, 70/50%, $5000/$7500

Description:
Option #907 Admar (3/04)

PPO 3/23/2004 Download
$1500/$3000, $30/$45, 80/60%, $5000/$7500

Description:
Option #906 Admar (3/04)

PPO 3/23/2004 Download
$250/$750 80%/60% $2000/$4000 $10 copay

Description:
Option #709 (ADMAR) (3/04)

PPO 3/23/2004 Download
$250/$750 90%/70% $1000/$2000 $10 copay

Description:
Option #701 (ADMAR) (3/04)

PPO 3/23/2004 Download
$250/$750 90%/70% $2000/$4000 $10 copay

Description:
Option #703 (ADMAR) (3/04)

PPO 3/23/2004 Download
$2500/$5000 80/60% $5000/$7500 $25 Copay

Description:
Option #751 Admar (3/04)

PPO 3/23/2004 Download
$2500/$5000, $30/$45, 70/50%, $6000/$9000

Description:
Option #909 Admar (3/04)

PPO 3/23/2004 Download
$2500/$5000, $30/$45, 80/60%, $5000/$7500

Description:
Option #908 Admar (3/04)

PPO 3/23/2004 Download
$500/$1500 80%/60% $2500/$5000 $15 copay

Description:
Option #723 (ADMAR) (3/04)

PPO 3/23/2004 Download
$500/$1500 80%/60% $4000/$7000 $15 copay

Description:
Option #725 (ADMAR) (3/04)

PPO 3/23/2004 Download
$500/$1500 90%/70% $2500/$5000 $15 copay

Description:
Option #717 (ADMAR) (3/04)

PPO 3/23/2004 Download
$500/$1500, $25/$35, 80/60%, $2000/$4000

Description:
Option #901 Admar (3/04)

PPO 3/23/2004 Download
$500/$1500, $25/$40, 70/50%, $4000/$6000

Description:
Option #903 Admar (3/04)

PPO 3/23/2004 Download
$500/$1500, $25/$40, 80/60%, $3000/$5000

Description:
Option #902 Admar (3/04)

PPO 3/23/2004 Download
$5000/$10000 80/.60% $7500/$10000 $25 Copay

Description:
Option #753 PHCS (3/04)

PPO 3/23/2004 Download
$750/$2250 70/50% $4000/$6000 $15 Copay

Description:
Option #735 Admar (3/04)

PPO 3/23/2004 Download
$750/$2250 80/60% $2500/$5000 $15 Copay

Description:
Option #731 Admar (3/04)

PPO 3/23/2004 Download
Benefit Design Options (2 - 50)

Description:
A summary of the benefit design options available to SGR groups and above. (Packaged)

PPO 3/23/2004 Download
Benefit Design Options (51 plus)

Description:
A summary of the benefit design options available to groups with 51 or more employees. (Unpackaged)

PPO 12/20/2002 Download
Principal Plan 1220
PPO 4/1/2005 Download
Principal Plan 1222
PPO 4/1/2005 Download
Principal Plan 1223
PPO 4/1/2005 Download
Principal Plan 1227
PPO 4/1/2005 Download
Employee Assistance Plan (EAP)

Description:
A standard part of the medical benefit packages for cases up to 200 lives. (No additional cost)

Riders 12/20/2002 Download
Employee Assistance Program - Levels of Service

Description:
EAP Levels of Services - describes basic EAP services (standard feature with Principal medical policies), standalone EAP services (offered as an optional feature with STD and LTD coverages) and EAP Pricing for LTD & STD (5/03)

Riders 5/20/2003 Download
Employee Choice Option

Description:
PPO Network Choice GP46109 (02/1999)

Riders 12/20/2002 Download
Employee Choice Option

Description:
Benefit Design Choice GP45816-1 (03/2000) Available to groups with 51 or more enrolled employees

Riders 12/20/2002 Download
Lab Card: The Benefit of Laboratory Management

Description:
With Lab Card, employees and their dependents receive all covered outpatient laboratory testing provided through LabOne at no cost. GP47535-2 (3/2002)

Riders 12/20/2002 Download
Principal Health News

Description:
Health News at your fingertips 24/7 GP48944 (01/2002)

Riders 12/20/2002 Download
Vision Discount Program

Description:
A free vision discount to employees and dependents who elect medical insurance from the Principal (VSP Well Vision Access Program) GP46739-9

Riders 3/23/2004 Download
Dental Plans
$50/$150 100-80-50/100-80-50 $1500

Description:
Premier Design Features (01/03)

PPO 1/20/2003 Download
$50/$150 100-80-50/100-80-50 $1500

Description:
Classic Design Features (01/03)

PPO 1/20/2003 Download
$50/$150 100-80-50/100-80-50 $1500 Ortho $1500

Description:
Premier Design Features (01/03)

PPO 1/15/2003 Download
$50/$150 100-80-50/100-80-50 $1500 Ortho $1500

Description:
Classic Design Features (01/03)

PPO 1/15/2003 Download
$50/$150 100-80-50/100-80-50 $2000

Description:
Classic Design Features (01/03)

PPO 1/20/2003 Download
$50/$150 100-80-50/100-80-50 $2000

Description:
Premier Design Features (01/03)

PPO 1/20/2003 Download
$50/$150 100-80-50/100-80-50 $2000 Ortho $2000

Description:
Classic Design Features (01/03)

PPO 1/15/2003 Download
$50/$150 100-80-50/100-80-50 $2000 Ortho $2000

Description:
Premier Design Features (01/03)

PPO 1/15/2003 Download
$50/$150 100-90-60/100-80-50 $1500

Description:
Premier Design Features (01/03)

PPO 1/20/2003 Download
$50/$150 100-90-60/100-80-50 $1500

Description:
Classic Design Features (01/03)

PPO 1/20/2003 Download
$50/$150 100-90-60/100-80-50 $1500 Ortho $1500

Description:
Classic Design Features (01/03)

PPO 1/15/2003 Download
$50/$150 100-90-60/100-80-50 $1500 Ortho $1500

Description:
Premier Design Features (01/03)

PPO 1/15/2003 Download
$50/$150 100-90-60/100-80-50 $2000

Description:
Premier Design Features (01/03)

PPO 1/20/2003 Download
$50/$150 100-90-60/100-80-50 $2000

Description:
Classic Design Features (01/03)

PPO 1/20/2003 Download
$50/$150 100-90-60/100-80-50 $2000 Ortho $2000

Description:
Premier Design Features (01/03)

PPO 1/15/2003 Download
$50/$150 100-90-60/100-80-50 $2000 Ortho $2000

Description:
Classic Design Features (01/03)

PPO 1/15/2003 Download
- How to find a PPO Dentist

Description:
Instructions on the use of the Principal web site.

PPO 12/20/2002 Download
PDS PPO Dental

Description:
$50 basic/major, 100/80/50% coinsurance, $2000 (Premier-like benefits, no deferrals)

PPO 3/23/2004 Download
PDS PPO Dental

Description:
$50 basic/major, 100/80/50% coinsurance $2000 (Classic-like benefits, no deferrals)

PPO 3/23/2004 Download
PDS PPO Dental

Description:
$50 basic/major, 100/80/50% coinsurance $2000 with $500 ortho (Premier-like benefits, no deferrals)

PPO 3/23/2004 Download
PDS PPO Dental

Description:
$50 basic/major, 100/80/50% coinsurance $2000 with $500 ortho (Classic-like benefits, no deferrals)

PPO 3/23/2004 Download
$0 100-90-60 $1500 Ortho $1500

Description:
Classic Design Features (01/03)

EPO 1/15/2003 Download
$0 100-90-60 $1500 Ortho $1500

Description:
Premier Design Features (01/03)

EPO 1/15/2003 Download
$0 100-90-60 $2000 Ortho $2000

Description:
Classic Design Features (01/03)

EPO 1/15/2003 Download
$0 100-90-60 $2000 Ortho $2000

Description:
Premier Design Features (01/03)

EPO 1/15/2003 Download
Disability Plans
STD/LTD Product Specifics for California

Description:
STD/LTD provisions, definitions and benefits

Short-Term 12/23/2003 Download
Other Plans
Please call our office for plan summaries
N/A 6/5/2013
Principal Company Profile

Description:
Financial Data, Ratings, Highlights, etc. (12/03)

N/A 7/24/2003 Download