This JavaScript enables OnlineOpinion, a method for collecting secure feedback data.
Individuals & Families
  Products
Medical
Platinum 90
Gold 80
Silver 70
Bronze 60
Bronze 60 HSA
Minimum Coverage
2014 Covered California Plans
Dental
Vision
Life
  Quote & Apply Online
  Forms and
Applications
  Help Current
Clients
January 2015 Benefit Summaries
Individual and Family Plans

The following Individual and Family Plan medical benefit summaries are effective January 1, 2015, and must be accompanied by the Important Legal Information Booklet (PDF, 2.8MB) when presented to your clients.
In addition to the benefit summaries, the Summary of Benefits and Coverage (SBC) forms provide your clients with an easy-to-understand overview of what our IFP plans cover. Visit our SBC page to download the forms. For more information on SBCs, please refer to your SBC Guide (PDF, 1.3MB)
Benefit Summary Guides
Download the full benefit summary guide for all of our IFP medical, vision and dental plans.
2015 Benefit Summary Guides
PPO Benefit Summary Guide English (PDF, 5.2MB)
Spanish (PDF, 3.03MB 
EPO Benefit Summary Guide English (PDF, 5.2MB)
Spanish (PDF, 2.5MB)
Alaska Native & American Indian PPO/EPO Benefit Summary Guide English (PDF, 6.6MB)
Spanish (PDF, 3.06MB
Benefit summaries by plan type

PPO plans   |   EPO plans   |   Alaska Native & American Indian PPO/EPO plans 
PPO Plans
PPO Plans Benefit Summaries
Platinum 90 English (PDF, 498KB) 
 
Gold 80 English (PDF, 498KB) 
 
Silver 70 English (PDF, 498KB)
 
Bronze 60 English (PDF, 498KB)
Updated: April 9, 2015

 
Bronze 60 HSA English (PDF, 498KB)
 
Minimum Coverage PPO English (PDF, 498KB)
Updated: April 9, 2015

 
EPO plans
EPO Plans Benefit Summaries
Platinum 90 English (PDF, 498KB) 
 
Gold 80 English (PDF, 498KB) 
 
Silver 70 English (PDF, 498KB)
 
Bronze 60 English (PDF, 498KB)
Updated: April 9, 2015

 
Bronze 60 HSA English (PDF, 498KB)
 
Minimum Coverage EPO English (PDF, 498KB)
Updated: April 9, 2015

 
Alaskan Native & American Indian PPO/EPO plans
Alaskan Native & American Indian PPO/EPO Plans Benefit Summaries
Platinum 90 PPO AI-AN English (PDF, 498KB) 
 
Platinum 90 EPO AI-AN English (PDF, 498KB) 
 
Gold 80 PPO AI-AN English (PDF, 498KB)
 
Gold 80 EPO AI-AN English (PDF, 498KB)
 
Silver 70 PPO AI-AN English (PDF, 498KB)
 
Silver 70 EPO AI-AN English (PDF, 498KB)
 
Bronze 60 PPO AI-AN English (PDF, 498KB)
Updated: April 9, 2015

 
Bronze 60 EPO AI-AN English (PDF, 498KB)
Updated: April 9, 2015

 
Bronze 60 HSA PPO AI-AN English (PDF, 498KB)
 
Bronze 60 HSA EPO AI-AN English (PDF, 498KB)
 
$0 Cost Share PPO AI-AN  English (PDF, 498KB)
 
$0 Cost Share EPO AI-AN English (PDF, 498KB)
 
Return to top
Broker Resources
2014 benefit summaries
Benefit summaries for plans prior to 2014
Monthly rates for brokers and consumers
Sales resources and collateral