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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
Additional Benefit Information
2019 Creditable Coverage Summary
2019 Prior Authorization List for all Small Group Plans
Prescription Drugs
2019 Small Group Formulary
2019 Small Group Formulary Changes
Pharmacy Directory
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