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January 2017
Product Updates
January 2016
Product Updates
IFP Sales Resources
2016 Evidence of Coverage/Policy
Individual and Family Plans

Download complete descriptions of our 2016 Individual and Family (IFP) medical plans:
Download complete descriptions of our 2016 IFP Specialty Benefits products:
PPO Medical Plans
PPO plan Policy/EOC Summary of Benefits
Platinum 90 PPO Download (PDF, 85KB)
Download (PDF, 85KB)
Gold 80 PPO Download (PDF, 85KB)
Download (PDF, 85KB)
Silver 70 PPO Download (PDF, 85KB)
Download (PDF, 85KB)
New Silver 1850 PPO Download (PDF, 85KB)
Download (PDF, 85KB)
New Silver Seven 3750 PPO Download (PDF, 85KB)
Download (PDF, 85KB)
Silver 94 PPO Download (PDF, 85KB)
Download (PDF, 85KB)
Silver 87 PPO Download (PDF, 85KB)
Download (PDF, 85KB)
Silver 73 PPO Download (PDF, 85KB)
Download (PDF, 85KB)
Bronze 60 PPO
Download (PDF, 85KB)
Download (PDF, 85KB)
New Bronze 5550 PPO Download (PDF, 85KB)
Download (PDF, 85KB)
Bronze 60 HSA PPO Download (PDF, 85KB)
Download (PDF, 85KB)
Minimum Coverage PPO Download (PDF, 85KB)
Download (PDF, 85KB)
Alaskan Native and American Indian PPO Medical Plans
Plan Policy/EOC
Summary of Benefits
Platinum 90 PPO Download (PDF, 85KB)
Download (PDF, 85KB)
Gold 80 PPO  Download (PDF, 85KB)
Download (PDF, 85KB)
Silver 70 PPO
Download (PDF, 85KB)
Download (PDF, 85KB)
Bronze 60 PPO
Download (PDF, 85KB)
Download (PDF, 85KB)
Bronze 60 HSA PPO
Download (PDF, 85KB)
Download (PDF, 85KB)
$0 Cost Share PPO Download (PDF, 85KB)
Download (PDF, 85KB)
PPO and HMO Dental Plans
Plan Policy/EOC and Summary of Benefits
Dental PPO Download (PDF, 200KB) 
Dental HMO Download (PDF, 200KB) 
Enhanced Dental HMO $0 Download (PDF, 200KB) 
Enhanced Dental PPO 25/500 Download (PDF, 200KB) 
Enhanced Dental PPO 50/1250 Download (PDF, 200KB) 
Dental plans closed to new business Date closed* Policy/EOC and Summary of Benefits
Enhanced Dental Plus PPO 25/500 January 1, 2015 Download (PDF, 225KB) 
Enhanced Dental Plus PPO 50/1250 January 1, 2015 Download (PDF, 187KB) 
Smile PPO January 1, 2015 Download (PDF, 237KB) 
Value Smile PPO January 1, 2015 Download (PDF, 182KB) 
*These plans are closed to new business, however, members who had coverage with these plans prior to the closure date, can keep their existing coverage.
Vision Plans
Plan Policy and Summary of Benefits
New Ultimate Vision 15/25/1201 Download (PDF, 200KB) 
Ultimate Vision 15/25/150 Download (PDF, 200KB) 
Specialty Duo Dental + Vision Package
Plan Policy and Summary of Benefits
Specialty Duo Dental + Vision Plan Download (PDF, 200KB) 
1.Underwritten by Blue Shield of California Life & Health Insurance Company (Blue Shield Life). Pending regulatory approval.
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2015 EOCs
EOCs for grandfathered and closed plans
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