|Plan Names||Summaries of Benefits||Disclosures|
|Bronze DPPO/$1000/MAC/Child Only Ortho||English|
|Bronze Voluntary DPPO/$1000/MAC||English|
|Bronze Voluntary DPPO/$1000/MAC/Child Only Ortho||English|
|Silver DPPO/$1500/MAC/Adult+Child Ortho||English|
|Silver DPPO/$1500/U90/Adult+Child Ortho||English|
|Gold DPPO/$1500/U90/Adult+Child Ortho||English|
|Gold DPPO/$2000/U90/Adult+Child Ortho||English|
|Platinum DPPO/$2500/U90/Adult+Child Ortho||English|
|Platinum DPPO/$3000/U90/Adult+Child Ortho||English|
|Platinum DPPO/$5000/U90/Adult+Child Ortho||English|
|Diamond DPPO/$3000/U95/Adult+Child Ortho||English|
|Diamond DPPO/$5000/U95/Adult+Child Ortho||English|
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Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California.