Benefit Summaries

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Louisiana Small Business Plan Guide

Choice

• Choice Balanced – 35/2500/80% (Plan I7I)
• Choice Balanced – 35/1000/80% (Plan I7K)
• Choice Balanced – 35/1500/80% (Plan I7L)
• Choice Balanced – 35/2000/80% (Plan I7M)
• Choice Edge – 30/1500/80% (Plan G4J)

Choice Plus

• Choice Plus Balanced – 35/2500/80% (Plan E4D)
• Choice Plus Balanced – 35/1000/80% (Plan E4H)
• Choice Plus Balanced – 35/1500/80% (Plan E4I)
• Choice Plus Balanced – 35/2000/80% (Plan E4J)
• Choice Plus Traditional – 40/80% (Plan E4K)
• Choice Plus Traditional with Deductible – 20/250/80% (Plan E4A)
• Choice Plus Edge – 30/1500/80% (Plan G4I)
• Choice Plus Edge – 30/1000/90% (Plan G4K)
• Choice Plus Edge – 40/1500/80% (Plan G4P)
• Choice Plus Edge with Definity HSA – 1500/80% (Plan 9OX)

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