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Your 2023 Summary of Benefits

Medical

Coverage for large employers with 101 or more employees.

Dental

D100 Plan

D200 Plan

VP5 HMO Plan

VP10 HMO Plan

VP20 HMO Plan

MEP HMO Plan

QEP HMO Plan

Coverage for employers with 100 or fewer employees.

Vision

V100 Plan

P5 Platinum HMO Plan

P10 Platinum HMO Plan

Platinum 90 HMO 0/20 Inf. Plan

Gold 80 HMO 250/35 Inf. Plan

Your 2023 Evidence of Coverage

Medical

Coverage for large employers with 101 or more employees.

Dental

D100 Plan

D200 Plan

Coverage for employers with 100 or fewer employees.

Vision

V100 Plan

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