Benefit Summaries

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New York Small Business Plan Guide

Choice

• Choice Balanced – 30/1000/90% (Plan Q8C)
• Choice Traditional with Deductible – 25/500/80% (Plan Q8A)
• Choice Definity HSA – 1250/80% (Plan Q8I)

Choice Plus

• Choice Plus Balanced – 25/1500/80% (Plan 7AC)
• Choice Plus Traditional with Deductible – 25/500/80% (Plan Q5E)
• Choice Plus Definity HSA – 2000/100% (Plan 7AT)
• Choice Plus Definity HRA – 1000/90% (Plan 9CE)
• Choice Plus Definity HRA – 2000/90% (Plan 9CG)

Non-Differential PPO

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

UnitedHealthcare Oxford

• HMO (Liberty network)
• Liberty Plan Direct
• Freedom Plan Metro (Liberty network)
• Exclusive Plan Metro (EPO) (Liberty network)
• Oxford Ease Select Plan (Liberty network)
• Oxford HSA Exclusive (Freedom network)
• Oxford HSA Direct (Liberty network)

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