Plan Documents

Individual & Family Plan Documents

2027 Plans

2027 SOB Individual HMO Bronze 0-100
2027 SOB Individual HMO Bronze 0-100 with Adult Vision Exam
2027 SOB Individual HMO Bronze 0-100 with Adult Vision
2027 SOB Individual HMO Bronze 12000 with 3 Free PCP Visits Adult Vision
2027 SOB Individual HMO Bronze 12000 with 3 Free PCP Visits
2027 SOB Individual HMO Bronze 12000-Limited with 3 Free PCP Visits Adult Vision
2027 SOB Individual HMO Bronze 12000-Limited with 3 Free PCP Visits
2027 SOB Individual HMO Bronze 8000 
2027 SOB Individual HMO Bronze 8000 with Adult Vision Exam 
2027 SOB Individual HMO Bronze 8000-Limited
2027 SOB Individual HMO Bronze 8000-Limited with Adult Vision Exam
2027 SOB Individual HMO Gold 0-100
2027 SOB Individual HMO Gold 0-100 with Adult Vision
2027 SOB Individual HMO Gold 1000 with 3 Free PCP Visits Adult Vision
2027 SOB Individual HMO Gold 1000-Limited with 3 Free PCP Visits Adult Vision
2027 SOB Individual HMO Gold 2000 with 3 Free PCP Visits Adult Vision
2027 SOB Individual HMO Gold 2000 with 3 Free PCP Visits
2027 SOB Individual HMO Gold 2000-Limited with 3 Free PCP Visits Adult Vision
2027 SOB Individual HMO Gold 2000-Limited with 3 Free PCP Visits
2027 SOB Individual HMO Silver 0-100
2027 SOB Individual HMO Silver 0-100 with Adult Vision
2027 SOB Individual HMO Silver 0-94
2027 SOB Individual HMO Silver 0-94 with Adult Vision
2027 SOB Individual HMO Silver 100-94 with 3 Free PCP Visits
2027 SOB Individual HMO Silver 1050-87 with 3 Free PCP Visits Adult Vision 
2027 SOB Individual HMO Silver 200-94 with 3 Free PCP Visits Adult Vision Exam
2027 SOB Individual HMO Silver 225-94 200 Rx with 3 Free PCP Visits
2027 SOB Individual HMO Silver 250-94 with 3 Free PCP Visits Adult Vision
2027 SOB Individual HMO Silver 3400-73 with 3 Free PCP Visits Adult Vision Exam
2027 SOB Individual HMO Silver 3500 with 3 Free PCP Visits Adult Vision - Off Exchange Only
2027 SOB Individual HMO Silver 3500 with 3 Free PCP Visits Adult Vision 
2027 SOB Individual HMO Silver 3500-73 with 3 Free PCP Visits Adult Vision 
2027 SOB Individual HMO Silver 3500-Limited with 3 Free PCP Visits Adult Vision
2027 SOB Individual HMO Silver 3700-73 400 Rx with 3 Free PCP Visits
2027 SOB Individual HMO Silver 4100-73 with 3 Free PCP Visits 
2027 SOB Individual HMO Silver 5000 1000 Rx with 3 Free PCP Visits Adult Vision - Off Exchange Only 
2027 SOB Individual HMO Silver 5000 1000 Rx with 3 Free PCP Visits 
2027 SOB Individual HMO Silver 5000 500 Rx with 3 Free PCP Visits Adult Vision - Off Exchange Only 
2027 SOB Individual HMO Silver 5000-Limited 1000 Rx with 3 Free PCP Visits 
2027 SOB Individual HMO Silver 6000 with 3 Free PCP Visits Adult Vision Exam 
2027 SOB Individual HMO Silver 6000-Limited with 3 Free PCP Visits Adult Vision Exam 
2027 SOB Individual HMO Silver 7000 with 3 Free PCP Visits 
2027 SOB Individual HMO Silver 7000-Limited with 3 Free PCP Visits 
2027 SOB Individual HMO Silver 775-87 300 Rx with 3 Free PCP Visits 
2027 SOB Individual HMO Silver 800-87 with 3 Free PCP Visits Adult Vision Exam 
2027 SOB Individual HMO Silver 830-87 with 3 Free PCP Visits 
2027 SOB Individual HMO Standard Bronze 0-100 
2027 SOB Individual HMO Standard Bronze  
2027 SOB Individual HMO Standard Gold 0-100 
2027 SOB Individual HMO Standard Gold
2027 SOB Individual HMO Standard Silver 0-100
2027 SOB Individual HMO Standard Silver 
2027 SOB Individual HMO Standard Silver-73
2027 SOB Individual HMO Standard Silver-87
2027 SOB Individual HMO Standard Silver-94

2026 Plans:

2026 SOB Individual HMO Bronze 0-100
2026 SOB Individual HMO Bronze 0-100 - Adult Vision
2026 SOB Individual HMO Silver 0-100 - Adult Vision
2026 SOB Individual HMO Bronze 10600 - PCP
2026 SOB Individual HMO Bronze 10600 - PCP Adult Vision
2026 SOB Individual HMO Bronze 10600-Limited - PCP
2026 SOB Individual HMO Bronze 10600 Limited PCP Adult Vision
2026 SOB Individual HMO Bronze 8000
2026 SOB Individual HMO Bronze 8000 - Adult Vision Exam
2026 SOB Individual HMO Bronze 8000-Limited
2026 SOB Individual HMO Bronze 8000-Limited - Adult Vision Exam
2026 SOB Individual HMO Gold 0-100
2026 SOB Individual HMO Gold 0-100 - Adult Vision
2026 SOB Individual HMO Gold 1000 PCP Adult Vision
2026 SOB Individual HMO Gold 1000 Limited PCP Adult Vision
2026 SOB Individual HMO Gold 2000 - PCP
2026 SOB Individual HMO Gold 2000 PCP Adult Vision
2026 SOB Individual HMO Gold 2000-Limited - PCP
2026 SOB Individual HMO Gold 2000 Limited PCP Adult Vision
2026 SOB Individual HMO Silver 0-100
2026 SOB Individual HMO Silver 0-100 - Adult Vision
2026 SOB Individual HMO Silver 3500 PCP Adult Vision
2026 SOB Individual HMO Silver 3500 PCP Adult Vision Off Only
2026 SOB Individual HMO Silver 3500-73 PCP Adult Vision
2026 SOB Individual HMO Silver 3500-87-1050-87 PCP Adult Vision
2026 SOB Individual HMO Silver 3500-94-250-94 PCP Adult Vision
2026 SOB Individual HMO Silver 3500 Limited PCP Adult Vision
2026 SOB Individual HMO Silver 5000 PCP Adult Vision Off Only
2026 SOB Individual HMO Silver 5000 1000 Rx - PCP
2026 SOB Individual HMO Silver 5000 1000 Rx PCP Adult Vision Off Only
2026 SOB Individual HMO Silver 5000-73 1000 Rx3700-73 400 Rx PCP
2026 SOB Individual HMO Silver 5000-87 1000 Rx775-87 300 Rx PCP
2026 SOB Individual HMO Silver 5000-94 1000 RX225-94 200 Rx PCP
2026 SOB Individual HMO Silver 5000-Limited 1000 Rx - PCP
2026 SOB Individual HMO Silver 6000 PCP Adult Vision Exam
2026 SOB Individual HMO Silver 6000-73 3400-73 PCP Adult Vision Exam
2026 SOB Individual HMO Silver 6000-87 800-87 PCP Adult Vision Exam
2026 SOB Individual HMO Silver 6000-94 200-94 PCP Adult Vision Exam
2026 SOB Individual HMO Silver 6000 Limited PCP Adult Vision Exam
2026 SOB Individual HMO Silver 7000 - PCP
2026 SOB Individual HMO Silver 7000-734 100-73 PCP
2026 SOB Individual HMO Silver 7000-87 830-87 PCP
2026 SOB Individual HMO Silver 7000-94 100-94 PCP
2026 SOB Individual HMO Silver 7000-Limited - PCP
2026 SOB Individual HMO Standard Bronze
2026 SOB Individual HMO Standard Bronze - Adult Vision
2026 SOB Individual HMO Standard Bronze 0-100
2026 SOB Individual HMO Standard Bronze 0-100 - Adult Vision
2026 SOB Individual HMO Standard Gold
2026 SOB Individual HMO Standard Gold - Adult Vision
2026 SOB Individual HMO Standard Gold 0-100
2026 SOB Individual HMO Standard Gold 0-100 - Adult Vision
2026 SOB Individual HMO Standard Silver
2026 SOB Individual HMO Standard Silver - Adult Vision
2026 SOB Individual HMO Standard Silver 0-100
2026 SOB Individual HMO Standard Silver 0-100 - Adult Vision
2026 SOB Individual HMO Standard Silver-73
2026 SOB Individual HMO Standard Silver-73 - Adult Vision
2026 SOB Individual HMO Standard Silver-87
2026 SOB Individual HMO Standard Silver-87 - Adult Vision
2026 SOB Individual HMO Standard Silver-94
2026 SOB Individual HMO Standard Silver-94 - Adult Vision