Mirror Package for Small Business - HMO Plans

Mirror Package for Small Business - HMO Plans

Blue Shield Mirror HMO Plans Summary of Benefits Disclosures  Optional Benefit
Blue Shield Trio Platinum 90 HMO 0/15
+ Child Dental 		 English (PDF, 46KB)
Spanish (PDF, 46KB) 		 English (PDF, 122KB)
Spanish (PDF, 122KB)		 Infertility
English (PDF, 95KB) 
Spanish (PDF, 95KB)
Blue Shield Trio Gold 80 HMO 250/25
+ Child Dental 		 English (PDF, 46KB) 
Spanish (PDF, 46KB) 		 English (PDF, 122KB)
Spanish (PDF, 122KB)		 Infertility
English (PDF, 95KB) 
Spanish (PDF, 95KB)
Blue Shield Trio Silver 70 HMO 2250/50
+ Child Dental		 English (PDF, 46KB)
Spanish (PDF, 46KB)		 English (PDF, 122KB)
Spanish (PDF, 122KB)		 Infertility
English (PDF, 95KB) 
Spanish (PDF, 95KB)

Contact Us

  • Producer Services (800) 559-5905

    Employer Services (800) 325-5166

  • Blue Shield of California

    PO Box 272540

    Chico, CA 95927-2540

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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.