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California Small Business Plan Guide

Choice Plus

• Choice Plus Traditional with Deductible – 20/250/90% (Plan J3A)
• Choice Plus Traditional with Deductible – 30/250/80% (Plan J3D)
• Choice Plus Traditional with Deductible – 30/500/80% (Plan J3F)
• Choice Plus Balanced – 30/1000/80% (Plan J3C)
• Choice Plus Balanced – 30/2500/80% (Plan J3E)
• Choice Plus Balanced – 40/1500/70% (Plan J3J)
• Choice Plus Balanced Value – 30/1000/80% (Plan J3P)
• Choice Plus Balanced Value – 40/1500/70% (Plan J3T)
• Choice Plus Definity HSA – 2000/80% (Plan J3Z)
• Choice Plus Definity HSA – 3000/100% (Plan J3O)
• Choice Plus Definity HSA – 4000/80% (Plan J3M)
• Choice Plus Definity HRA – 1500/80% (Plan J3X)

Non-Differential PPO

• Non-Differential PPO – 2000/80% (Plan 6HH)

PacifiCare SignatureValue (offered by PacifiCare of California)

• SignatureValue – 25-75/500ded HMO Deductible (HealthCare Partners Network)
• SignatureValue – 25-75/1500ded HMO Deductible (HealthCare Partners Network)
• SignatureValue Advantage – 10-30/100% HMO
• SignatureValue Advantage – 15-30/300a HMO
• SignatureValue Advantage – 30-40/500d HMO
• SignatureValue Advantage – 15-30/300a HMO
• SignatureValue Advantage – 30-40/500d HMO
• SignatureValue Advantage – 40-60/60% HMO
• SignatureValue Advantage – 40-60/800d HMO

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