Benefit Summaries

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New Mexico Small Business Plan Guide

Choice Plus

• Choice Plus Balanced – 25/1000/80% Plan 5NS (code)
• Choice Plus Balanced – 25/1500/80% Plan 5NW (code)
• Choice Plus Balanced – 30/2500/70% Plan 9NH (code)
• Choice Plus Balanced – 40/5000/70% Plan N5F (code)
• Choice Plus Traditional with Deductible – 20/500/80% Plan 5NN (code)
• Choice Plus Definity HSA – 5000/100% Plan 6AU (code)
• Choice Plus Definity HSA – 2000/100% Plan 6AV (code)
• Choice Plus Definity HSA – 3500/100% Plan 6AW (code)
• Choice Plus Definity HSA – 2850/80% Plan L8X (code)
• Choice Plus Definity HSA – 1500/100% Plan L8Z (code)

Non-Differential

• Non-Differential PPO – 1500/80% Plan 7CA (code)
• Non-Differential PPO – 2000/80% Plan 7CB (code)

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