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Small Group Resources
Benefit Summaries
Tier 1 - 20% Coinsurance
Performance Platinum $500
Performance Platinum $750
Performance Gold $1,000
Performance Gold $2,000
Performance Gold $3,000
Performance Silver $5,250
Performance Silver $6,850
Performance Silver $7,150
Performance Silver $7,350
Tier 2 - 30% Coinsurance
Performance Gold $500
Performance Gold $750
Performance Gold $1,000
Performance Gold $1,500
Performance Gold $2,000
Performance Silver $3,250
Performance Silver $3,500
Performance Silver $4,000
Performance Silver $5,000
Performance Silver $6,850
Performance Silver $7,150
Performance Silver $7,350
Tier 3 - 50% Coinsurance
Performance Gold $500
Performance Gold $750
Performance Gold $1,000
Performance Silver $1,750
Performance Silver $2,000
Performance Silver $2,500
Performance Silver $3,000
Performance Silver $3,500
Performance Silver $4,000
Performance Silver $5,000
Performance Silver $6,850
Performance Silver $7,150
Performance Silver $7,350
Health Savings Account-Eligible
Performance Silver $2,700 HSA
Performance Silver $3,500 HSA
Performance Silver $4,000 HSA
Performance Bronze $6,750 HSA
Standard
Oregon Standard Silver
Oregon Standard Bronze
Basic
Benefit Information
2018 Small Group Certificate for Health & Wellbeing, Standard and New Performance Plans
2018 Health & Wellbeing 2500
2018 Health & Wellbeing 3000
2018 Health & Wellbeing 5000
2018 Samaritan Oregon Standard Bronze
2018 Samaritan Oregon Standard Silver
2018 New Performance
2018 Prior Authorization List
2018 Creditable Coverage Summary
Prescription Drugs
Benefit information
2017 Health & Wellbeing 5000/60
2017 Health & Wellbeing 3000/20
2017 Health & Wellbeing 2500/20
2017 Bronze Standard
2017 Silver Standard
2017 New Performance
2017 Vision Plan
2017 Prior Authorization List
2017 Benefit Exclusions
Prescription Drugs
2017 Formulary
2017 Pharmacy Directory