Personal Choice 2025Groups 51 – 99

Please note that we have updated our Benefit Summary documents with a new logo and design. Benefit information has not changed.

Forms are in pdf format.

PPO $500/$20-$40/100%

PPO $1,000/$20-$40/100%

PPO $1,500/$20-$40/100%

PPO $2,500/$30-$60/100%

PPO $2,000/$30-$60/80%

PPO $3,000/$30-$60/100%

PPO $3,000/$30-$60/90%

PPO $4,000/$30-$60/90%

PPO $5,000/$30-$60/90%

PPO $5,000/$40-$70/100%

PPO $6,000/$20-$40/100%

PPO $15-$35/$150

PPO $20-$40/$250

PPO $30-$60/$400

PPO $40-$70/$500

PPO $50-$80/$500-$250

PPO HSA $2,000/$30-$60/$500 w Int Rx

PPO HSA $3,000/$30-$60/$500 w Int Rx & VPCP

PPO $4,000/90% w Int Rx

PPO HSA $2,000/80% w Int Rx

PPO HSA $2,000/100% w Int Rx

PPO HSA $2,500/90% w Int Rx

PPO HSA $3,000/$30-$60/$500 w Int Rx

PPO HSA $3,000/100% w Int Rx

PPO HSA $3,000/80% w Int Rx

PPO HSA $3,000/90% w Int Rx

PPO HSA $4,000/$40-$70/$250 w Int Rx

PPO HSA $4,000/90% w Int Rx

PPO HSA $5,000/$40-$70/100% w Int Rx

PPO HSA $5,000/100% w Int Rx

PPO HSA $5,000/80% w Int Rx

PPO HSA $5,000/70% w Int Rx

PPO HSA $6,350/100% w Int Rx

PPO CA $40-$85/$500

PPO CA $4,000/$30-$75/90%

PPO CA $3,000/$25-$65/80%

PPO HSA $2,500/100% w Int Rx

PPO HSA $5,000/$40-$70/$250 w Int Rx