Benefit Summaries

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Oklahoma Small Business Plan Guide

Choice Plus

• Choice Plus Balanced – 25/1000/80% (Plan 9UH)
• Choice Plus Balanced – 25/1500/80% (Plan 9UJ)
• Choice Plus Balanced – 25/1000/80% (Plan 9UY)
• Choice Plus Balanced 100 – 25/2000/100% (Plan 9U2)
• Choice Plus Balanced 100 – 30/3000/100% (Plan 9U3)
• Choice Plus Balanced 100 – 25/2500/100% (Plan 9U7)
• Choice Plus Traditional with Deductible – 25/500/80% (Plan 9UG)
• Choice Plus Definity HSA – 2500/100% (Plan 4LA)
• Choice Plus Definity HSA – 3000/100% (Plan 4LB)
• Choice Plus Definity HSA – 5000/100% (Plan 4LD)

PacifiCare SignatureElite

• PacifiCare SignatureElite Plus Balanced – 30/1500/80% (Plan PMG)
• PacifiCare SignatureElite Plus Balanced – 30/2000/80% (Plan PMH)
• PacifiCare SignatureElite Plus Balanced – 30/2500/80% (Plan PMI)
• PacifiCare SignatureElite Plus Balanced – 30/1500/80% (Plan PMY)
• PacifiCare SignatureElite Plus Balanced – 35/1500/70% (Plan PMZ)

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