Schedule of Benefits (SOB) Library

Below is a complete list of all Commercial Group SOBs for plans in the Small Group Metal Tier series available to small groups with 2-50 employees.

To view, click the SOB name and a PDF of the SOB will open. From there you can view the SOB, save it to your computer or print it for future reference.

Small Group Metal Tier Plans

2017
SummaCare Bronze 5500 HSA-17 with SCConnect Network
SummaCare Bronze 6000-17 with SCConnect Network
SummaCare Silver 2800 HSA-17 with SCConnect Network
SummaCare Silver 3150-17 with SCConnect Network
SummaCare Silver 3500 HSA-17 with SCConnect Network
SummaCare Silver 4250-17 with SCConnect Network
SummaCare Silver 5000-17 80 with SCConnect Network
SummaCare Silver 5000-17 100 with SCConnect Network
SummaCare Gold 500-17 with SCConnect Network
SummaCare Gold 1000-17 with SCConnect Network
SummaCare Gold 2000-17 with SCConnect Network
SummaCare Gold 3000-17 with SCConnect Network
SummaCare Bronze 5500 HSA-17 with SCSelect Network
SummaCare Bronze 6000-17 with SCSelect Network
SummaCare Silver 2800 HSA-17 with SCSelect Network
SummaCare Silver 3150-17 with SCSelect Network
SummaCare Silver 3500 HSA-17 with SCSelect Network
SummaCare Silver 4250-17 with SCSelect Network
SummaCare Silver 5000-17 80 with SCSelect Network
SummaCare Silver 5000-17 100 with SCSelect Network
SummaCare Gold 500-17 with SCSelect Network
SummaCare Gold 1000-17 with SCSelect Network
SummaCare Gold 2000-17 with SCSelect Network
SummaCare Gold 3000-17 with SCSelect Network
SummaCare Bronze 5500 HSA-17 with SCPremier Network
SummaCare Bronze 6000-17 with SCPremier Network
SummaCare Silver 2800 HSA-17 with SCPremier Network
SummaCare Silver 3150-17 with SCPremier Network
SummaCare Silver 3500 HSA-17 with SCPremier Network
SummaCare Silver 4250-17 with SCPremier Network
SummaCare Silver 5000-17 80 with SCPremier Network
SummaCare Silver 5000-17 100 with SCPremier Network
SummaCare Gold 500-17 with SCPremier Network
SummaCare Gold 1000-17 with SCPremier Network
SummaCare Gold 2000-17 with SCPremier Network
SummaCare Gold 3000-17 with SCPremier Network 

2016
SummaCare Bronze 5000 HSA-16 with SCConnect Network                 
SummaCare Silver 2800 HSA-16 with SCConnect Network
SummaCare Silver 3000-16 with SCConnect Network
SummaCare Silver 3500 HSA-16 with SCConnect Network
SummaCare Silver 4000-16 100 with SCConnect Network
SummaCare Silver 4000-16 80 with SCConnect Network
SummaCare Silver 5000-16 80 with SCConnect Network
SummaCare Silver 5000-16 100 with SCConnect Network
SummaCare Gold 500-16 with SCConnect Network
SummaCare Gold 1000-16 with SCConnect Network
SummaCare Gold 2000-16 with SCConnect Network
SummaCare Bronze 5000 HSA-16 with SCSelect Network
SummaCare Silver 2800 HSA-16 with SCSelect Network
SummaCare Silver 3000-16 with SCSelect Network
SummaCare Silver 3500 HSA-16 with SCSelect Network
SummaCare Silver 4000-16 100 with SCSelect Network
SummaCare Silver 4000-16 80 with SCSelect Network
SummaCare Silver 5000-16 80 with SCSelect Network
SummaCare Silver 5000-16 100 with SCSelect Network
SummaCare Gold 500-16 with SCSelect Network
SummaCare Gold 1000-16 with SCSelect Network
SummaCare Gold 2000-16 with SCSelect Network
SummaCare Bronze 5000 HSA-16 with SCPremier Network
SummaCare Silver 2800 HSA-16 with SCPremier Network
SummaCare Silver 3000-16 with SCPremier Network
SummaCare Silver 3500 HSA-16 with SCPremier Network
SummaCare Silver 4000-16 100 with SCPremier Network
SummaCare Silver 4000-16 80 with SCPremier Network
SummaCare Silver 5000-16 80 with SCPremier Network
SummaCare Silver 5000-16 100 with SCPremier Network
SummaCare Gold 500-16 with SCPremier Network
SummaCare Gold 1000-16 with SCPremier Network
SummaCare Gold 2000-16 with SCPremier Network

2015
Bronze 4000Q-15    
Bronze 5000-15
Silver 1500-15
Silver 2500-15    
Silver 5000-15
Gold 1000-15
Gold 2000-15