Benefit Summaries

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Indiana Small Business Plan Guide

Choice Plus

• Choice Plus Balanced – 30/1000/80% (Plan X6U)
• Choice Plus Balanced – 30/1500/80% (Plan X6V)
• Choice Plus Balanced – 25/1000/80% (Plan I9K)
• Choice Plus Balanced – 25/1500/80% (Plan I9L)
• Choice Plus Balanced – 25/2500/80% (Plan I9N)
• Choice Plus Balanced – 30/3000/80% (Plan I9P)
• Choice Plus Balanced – 30/5000/80% (Plan I9Q)
• Choice Plus Traditional with Deductible – 30/500/80% (Plan X6Z)
• Choice Plus Traditional with Deductible – 25/500/80% (Plan I9O)
• Choice Plus Definity HRA – 2000/80% (Plan 7WH)
• Choice Plus Definity HRA – 2500/80% (Plan 7WI)
• Choice Plus Definity HRA – 3000/80% (Plan 7WJ)
• Choice Plus Definity HSA – 2500/100% (Plan O4C)
• Choice Plus Definity HSA – 4000/100% (Plan 1IG)

UnitedHealthcare Core

• UnitedHealthcare Core Traditional with Deductible – 30/500/80% (Plan NNS)

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