Schedule of Benefits 2018
- Flagler-Plan-01F.pdf
- Flagler-POS-02F-Plan.pdf
- GF-614.pdf
- GF-615.pdf
- GF-621.pdf
- GF-622.pdf
- GF-625.pdf
- GF-632.pdf
- GF-640.pdf
- GF-651.pdf
- GF-652.pdf
- GF-653.pdf
- GF-660.pdf
- GF-683.pdf
- GF-684.pdf
- GF-B61.pdf
- GF-B62.pdf
- GF-B63.pdf
- Gym-Access-IND-Bronze-HMO-5000-6550-Zero-Q59.pdf
- Gym-Access-IND-Bronze-HMO-6000-6000-Zero-Q61.pdf
- Gym-Access-IND-Bronze-HMO-BC-3841-K64.pdf
- Gym-Access-IND-Bronze-HMO-BC-3841-Q64.pdf
- Gym-Access-IND-Bronze-HMO-BC-3841-Q64-Limited.pdf
- Gym-Access-IND-Bronze-HMO-BC-3841-Zero-Q65.pdf
- Gym-Access-IND-Bronze-HMO-HSA-5000-6550-K24.pdf
- Gym-Access-IND-Bronze-HMO-HSA-5000-6550-Q24.pdf
- Gym-Access-IND-Bronze-HMO-HSA-5000-6550-Q24-Limited.pdf
- Gym-Access-IND-Bronze-HMO-HSA-6000-6000-K26.pdf
- Gym-Access-IND-Bronze-HMO-HSA-6000-6000-Q26.pdf
- Gym-Access-IND-Bronze-HMO-HSA-6000-6000-Q26-Limited.pdf
- Gym-Access-IND-Bronze-POS-BC-3841-K66.pdf
- Gym-Access-IND-Bronze-POS-BC-3841-Q66.pdf
- Gym-Access-IND-Bronze-POS-BC-3841-Q66-Limited.pdf
- Gym-Access-IND-Bronze-POS-BC-3841-Zero-Q67.pdf
- Gym-Access-IND-Bronze-POS-HSA-5000-6550-K25.pdf
- Gym-Access-IND-Bronze-POS-HSA-6000-6000-K27.pdf
- Gym-Access-IND-Catastrophic-Essential-Plus-HMO-X36.pdf
- Gym-Access-IND-Catastrophic-Essential-Plus-HMO-Y36.pdf
- Gym-Access-IND-Catastrophic-Essential-Plus-POS-X37.pdf
- Gym-Access-IND-Catastrophic-Essential-Plus-POS-Y37.pdf
- Gym-Access-IND-Essential-Plus-Bronze-POS-42-Zero-X77.pdf
- Gym-Access-IND-Essential-Plus-Bronze-POS-X42.pdf
- Gym-Access-IND-Essential-Plus-Bronze-POS-X42-Limited.pdf
- Gym-Access-IND-Essential-Plus-Bronze-POS-Y42.pdf
- Gym-Access-IND-Essential-Plus-Gold-HMO-63-Zero-X78.pdf
- Gym-Access-IND-Essential-Plus-Gold-HMO-X63.pdf
- Gym-Access-IND-Essential-Plus-Gold-HMO-X63-Limited.pdf
- Gym-Access-IND-Essential-Plus-Gold-HMO-Y63.pdf
- Gym-Access-IND-Essential-Plus-Platinum-HMO-65-Zero-X80.pdf
- Gym-Access-IND-Essential-Plus-Platinum-HMO-X65.pdf
- Gym-Access-IND-Essential-Plus-Platinum-HMO-X65-Limited.pdf
- Gym-Access-IND-Essential-Plus-Platinum-HMO-Y65.pdf
- Gym-Access-IND-Essential-Plus-Silver-73-HMO-X57.pdf
- Gym-Access-IND-Essential-Plus-Silver-73-POS-X58.pdf
- Gym-Access-IND-Essential-Plus-Silver-87-HMO-X59.pdf
- Gym-Access-IND-Essential-Plus-Silver-87-POS-X60.pdf
- Gym-Access-IND-Essential-Plus-Silver-94-HMO-X61.pdf
- Gym-Access-IND-Essential-Plus-Silver-94-POS-X62.pdf
- Gym-Access-IND-Essential-Plus-Silver-HMO-53-Zero-X55.pdf
- Gym-Access-IND-Essential-Plus-Silver-HMO-X53.pdf
- Gym-Access-IND-Essential-Plus-Silver-HMO-X53-Limited.pdf
- Gym-Access-IND-Essential-Plus-Silver-HMO-Y53.pdf
- Gym-Access-IND-Essential-Plus-Silver-POS-54-Zero-X56.pdf
- Gym-Access-IND-Essential-Plus-Silver-POS-X54.pdf
- Gym-Access-IND-Essential-Plus-Silver-POS-X54-Limted.pdf
- Gym-Access-IND-Essential-Plus-Silver-POS-Y54.pdf
- Gym-Access-IND-Gold-HMO-5500-K08.pdf
- Gym-Access-IND-Gold-HMO-5500-Q08.pdf
- Gym-Access-IND-Gold-HMO-5500-Q08-Limited.pdf
- Gym-Access-IND-Gold-HMO-5500-Zero-Q43.pdf
- Gym-Access-IND-Gold-HMO-BC-5651-K30.pdf
- Gym-Access-IND-Gold-HMO-BC-5651-Q30.pdf
- Gym-Access-IND-Gold-HMO-BC-5651-Q30-Limited.pdf
- Gym-Access-IND-Gold-HMO-BC-5651-Zero-Q31.pdf
- Gym-Access-IND-Gold-POS-5500-K09.pdf
- Gym-Access-IND-Gold-POS-5500-Q09.pdf
- Gym-Access-IND-Gold-POS-5500-Q09-Limited.pdf
- Gym-Access-IND-Gold-POS-5500-Zero-Q44.pdf
- Gym-Access-IND-Gold-POS-BC-5651-K32.pdf
- Gym-Access-IND-Gold-POS-BC-5651-Q32.pdf
- Gym-Access-IND-Gold-POS-BC-5651-Q32-Limited.pdf
- Gym-Access-IND-Gold-POS-BC-5651-Zero-Q33.pdf
- Gym-Access-IND-Gold-Triple-Option-Essential-Plus-Z29.pdf
- Gym-Access-IND-Platinum-HMO-4000-K12.pdf
- Gym-Access-IND-Platinum-HMO-4000-Q12.pdf
- Gym-Access-IND-Platinum-HMO-4000-Q12-Limited.pdf
- Gym-Access-IND-Platinum-HMO-4000-Zero-Q47.pdf
- Gym-Access-IND-Platinum-HMO-BC-1941-K38.pdf
- Gym-Access-IND-Platinum-HMO-BC-1941-Q38.pdf
- Gym-Access-IND-Platinum-HMO-BC-1941-Q38-Limited.pdf
- Gym-Access-IND-Platinum-HMO-BC-1941-Zero-Q39.pdf
- Gym-Access-IND-Platinum-HMO-K91.pdf
- Gym-Access-IND-Platinum-HMO-K92.pdf
- Gym-Access-IND-Platinum-HMO-Q91.pdf
- Gym-Access-IND-Platinum-HMO-Q91-Limited.pdf
- Gym-Access-IND-Platinum-HMO-Q92.pdf
- Gym-Access-IND-Platinum-HMO-Q92-Limited.pdf
- Gym-Access-IND-Platinum-HMO-Zero-Q93.pdf
- Gym-Access-IND-Platinum-HMO-Zero-Q94.pdf
- Gym-Access-IND-Platinum-POS-4000-K13.pdf
- Gym-Access-IND-Platinum-POS-4000-Q13.pdf
- Gym-Access-IND-Platinum-POS-4000-Q13-Limited.pdf
- Gym-Access-IND-Platinum-POS-4000-Zero-Q48.pdf
- Gym-Access-IND-Platinum-POS-BC-1941-K40.pdf
- Gym-Access-IND-Platinum-POS-BC-1941-Q40.pdf
- Gym-Access-IND-Platinum-POS-BC-1941-Q40-Limited.pdf
- Gym-Access-IND-Platinum-POS-BC-1941-Zero-Q41.pdf
- Gym-Access-IND-Platinum-POS-BC-5841-K36.pdf
- Gym-Access-IND-Platinum-POS-BC-5841-Q36.pdf
- Gym-Access-IND-Platinum-POS-BC-5841-Q36-Limited.pdf
- Gym-Access-IND-Platinum-POS-BC-5841-Zero-Q37.pdf
- Gym-Access-IND-Platinum-Triple-Option-Z82.pdf
- Gym-Access-IND-Silver-HMO-4-K04.pdf
- Gym-Access-IND-Silver-HMO-5-K05.pdf
- Gym-Access-IND-Silver-HMO-6400-73-Q15.pdf
- Gym-Access-IND-Silver-HMO-6400-87-Q16.pdf
- Gym-Access-IND-Silver-HMO-6400-94-Q17.pdf
- Gym-Access-IND-Silver-HMO-6400-K14.pdf
- Gym-Access-IND-Silver-HMO-6400-Q14.pdf
- Gym-Access-IND-Silver-HMO-6400-Q14-Limited.pdf
- Gym-Access-IND-Silver-HMO-6400-Zero-Q49.pdf
- Gym-Access-IND-Silver-HMO-6600-73-Q19.pdf
- Gym-Access-IND-Silver-HMO-6600-87-Q20.pdf
- Gym-Access-IND-Silver-HMO-6600-94-Q21.pdf
- Gym-Access-IND-Silver-HMO-6600-K18.pdf
- Gym-Access-IND-Silver-HMO-6600-Q18.pdf
- Gym-Access-IND-Silver-HMO-6600-Q18-Limited.pdf
- Gym-Access-IND-Silver-HMO-6600-Zero-Q53.pdf
- Gym-Access-IND-Silver-HMO-BC-0941-73-Q70.pdf
- Gym-Access-IND-Silver-HMO-BC-0941-87-Q71.pdf
- Gym-Access-IND-Silver-HMO-BC-0941-94-Q72.pdf
- Gym-Access-IND-Silver-HMO-BC-0941-K68.pdf
- Gym-Access-IND-Silver-HMO-BC-0941-Q68.pdf
- Gym-Access-IND-Silver-HMO-BC-0941-Q68-Limited.pdf
- Gym-Access-IND-Silver-HMO-BC-0941-Zero-Q69.pdf
- Gym-Access-IND-Silver-HMO-HSA-2000-6650-K22.pdf
- Gym-Access-IND-Silver-HMO-K99.pdf
- Gym-Access-IND-Silver-POS-BC-0941-73-Q75.pdf
- Gym-Access-IND-Silver-POS-BC-0941-87-Q76.pdf
- Gym-Access-IND-Silver-POS-BC-0941-94-Q77.pdf
- Gym-Access-IND-Silver-POS-BC-0941-K73.pdf
- Gym-Access-IND-Silver-POS-BC-0941-Q73.pdf
- Gym-Access-IND-Silver-POS-BC-0941-Q73-Limited.pdf
- Gym-Access-IND-Silver-POS-BC-0941-Zero-Q74.pdf
- Gym-Access-IND-Silver-POS-BC-7741-73-Q85.pdf
- Gym-Access-IND-Silver-POS-BC-7741-87-Q86.pdf
- Gym-Access-IND-Silver-POS-BC-7741-94-Q87.pdf
- Gym-Access-IND-Silver-POS-BC-7741-K83.pdf
- Gym-Access-IND-Silver-POS-BC-7741-Q83.pdf
- Gym-Access-IND-Silver-POS-BC-7741-Q83-Limited.pdf
- Gym-Access-IND-Silver-POS-BC-7741-Zero-Q84.pdf
- Gym-Access-SMAG-Bronze-HMO-1-P01.pdf
- Gym-Access-SMAG-Bronze-HMO-2-P02.pdf
- Gym-Access-SMAG-Bronze-HMO-HSA-5000-6550-P24.pdf
- Gym-Access-SMAG-Bronze-HMO-HSA-6000-6000-P26.pdf
- Gym-Access-SMAG-Bronze-POS-HSA-5000-6550-P25.pdf
- Gym-Access-SMAG-Bronze-POS-HSA-6000-6000-P27.pdf
- Gym-Access-SMAG-Essential-Plus-Bronze-HMO-V41.pdf
- Gym-Access-SMAG-Essential-Plus-Bronze-POS-V42.pdf
- Gym-Access-SMAG-Essential-Plus-Platinum-HMO-V65.pdf
- Gym-Access-SMAG-Gold-HMO-4500-P29.pdf
- Gym-Access-SMAG-Gold-HMO-5500-P08.pdf
- Gym-Access-SMAG-Gold-HMO-P90.pdf
- Gym-Access-SMAG-Gold-HMO-P93.pdf
- Gym-Access-SMAG-Gold-HMO-P95.pdf
- Gym-Access-SMAG-Gold-POS-5500-P09.pdf
- Gym-Access-SMAG-Gold-Triple-Option-Essential-Plus-M29.pdf
- Gym-Access-SMAG-HDHP-Silver-POS-P98.pdf
- Gym-Access-SMAG-Platinum-HMO-3000-P10.pdf
- Gym-Access-SMAG-Platinum-HMO-4000-P12.pdf
- Gym-Access-SMAG-Platinum-HMO-P91.pdf
- Gym-Access-SMAG-Platinum-HMO-P92.pdf
- Gym-Access-SMAG-Platinum-POS-3000-P11.pdf
- Gym-Access-SMAG-Platinum-POS-4000-P13.pdf
- Gym-Access-SMAG-Platinum-POS-P88.pdf
- Gym-Access-SMAG-Platinum-Triple-Option-82.pdf
- Gym-Access-SMAG-Silver-HMO-3-P03.pdf
- Gym-Access-SMAG-Silver-HMO-4-P04.pdf
- Gym-Access-SMAG-Silver-HMO-6400-P14.pdf
- Gym-Access-SMAG-Silver-HMO-6600-P18.pdf
- Gym-Access-SMAG-Silver-HMO-HSA-2000-6650-P22.pdf
- Gym-Access-SMAG-Silver-HMO-P99.pdf
- Gym-Access-SMAG-Silver-POS-HSA-2000-6650-P23.pdf
- IND-Bronze-HMO-1340-K3A.pdf
- IND-Bronze-HMO-1340-Q3A.pdf
- IND-Bronze-HMO-1340-Q3A-Limited.pdf
- IND-Bronze-HMO-1340-Zero-Q3B.pdf
- IND-Bronze-HMO-HSA-5000-6550-K24.pdf
- IND-Bronze-HMO-HSA-6000-6000-K26.pdf
- IND-Bronze-POS-HSA-5000-6550-K25.pdf
- IND-Bronze-POS-HSA-6000-6000-K27.pdf
- IND-Bronze-Standardized-HMO-K2A.pdf
- IND-Bronze-Standardized-HMO-Q2A.pdf
- IND-Bronze-Standardized-HMO-Q2A-Limited.pdf
- IND-Bronze-Standardized-HMO-Zero-Q2B.pdf
- IND-Essential-Plus-Bronze-HMO-X41.pdf
- IND-Essential-Plus-Bronze-HMO-X41-Limited.pdf
- IND-Essential-Plus-Bronze-HMO-Y41.pdf
- IND-Essential-Plus-Bronze-HMO-Zero-X76.pdf
- IND-Gold-HMO-4500-K29.pdf
- IND-Gold-HMO-4500-Q29.pdf
- IND-Gold-HMO-4500-Q29-Limited.pdf
- IND-Gold-HMO-4500-Zero-Q28.pdf
- IND-Gold-Triple-Option-Essential-Plus-Z29.pdf
- IND-Platinum-HMO-BC-5841-K34.pdf
- IND-Platinum-HMO-BC-5841-Q34.pdf
- IND-Platinum-HMO-BC-5841-Q34-Limited.pdf
- IND-Platinum-HMO-BC-5841-Zero-Q35.pdf
- IND-Platinum-Triple-Option-82.pdf
- IND-Silver-HMO-4-K04.pdf
- IND-Silver-HMO-5-K05.pdf
- IND-Silver-HMO-BC-7741-73-Q80.pdf
- IND-Silver-HMO-BC-7741-87-Q81.pdf
- IND-Silver-HMO-BC-7741-94-Q82.pdf
- IND-Silver-HMO-BC-7741-K78.pdf
- IND-Silver-HMO-BC-7741-Q78.pdf
- IND-Silver-HMO-BC-7741-Q78-Limited.pdf
- IND-Silver-HMO-BC-7741-Zero-Q79.pdf
- IND-Silver-HMO-HSA-2000-6650-K22.pdf
- IND-Silver-HMO-K99.pdf
- IND-Silver-Standardized-HMO-1-73-Q1C.pdf
- IND-Silver-Standardized-HMO-1-87-Q1D.pdf
- IND-Silver-Standardized-HMO-1-94-Q1E.pdf
- IND-Silver-Standardized-HMO-1-K1A.pdf
- IND-Silver-Standardized-HMO-1-Q1A.pdf
- IND-Silver-Standardized-HMO-1-Q1A-Limited.pdf
- IND-Silver-Standardized-HMO-1-Zero-Q1B.pdf
- LG-GRP-321.pdf
- LG-GRP-DN1.pdf
- LG-GRP-DN2.pdf
- LG-GRP-G01.pdf
- LG-GRP-G20.pdf
- LG-GRP-G29.pdf
- LG-GRP-G42.pdf
- LG-GRP-H01.pdf
- LG-GRP-H23.pdf
- LG-GRP-IF2.pdf
- LG-GRP-II2.pdf
- LG-GRP-LT5.pdf
- LG-GRP-T01.pdf
- LG-GRP-T02.pdf
- LG-GRP-T03.pdf
- LG-GRP-T04.pdf
- LG-GRP-T05.pdf
- LG-GRP-T06.pdf
- LG-GRP-T07.pdf
- LG-GRP-T08.pdf
- LG-GRP-T09.pdf
- LG-GRP-T10.pdf
- LG-GRP-T11.pdf
- LG-GRP-T12.pdf
- LG-GRP-T13.pdf
- LG-GRP-T14.pdf
- LG-GRP-T15.pdf
- LG-GRP-T17.pdf
- LG-GRP-T18.pdf
- LG-GRP-T19.pdf
- LG-GRP-T20.pdf
- LG-GRP-T21.pdf
- LG-GRP-T22.pdf
- LG-GRP-T23.pdf
- LG-GRP-T24.pdf
- LG-GRP-T25.pdf
- LG-GRP-T26.pdf
- LG-GRP-T27.pdf
- LG-GRP-T28.pdf
- LG-GRP-T29.pdf
- LG-GRP-T30.pdf
- LG-GRP-T31.pdf
- LG-GRP-T32.pdf
- LG-GRP-T33.pdf
- LG-GRP-T34.pdf
- LG-GRP-T35.pdf
- LG-GRP-T36.pdf
- LG-GRP-T37.pdf
- LG-GRP-T38.pdf
- LG-GRP-T39.pdf
- LG-GRP-T40.pdf
- LG-GRP-T41.pdf
- LG-GRP-T42.pdf
- LG-GRP-T43.pdf
- LG-GRP-T44.pdf
- LG-GRP-T45.pdf
- LG-GRP-T46.pdf
- LG-GRP-T47.pdf
- LG-GRP-T48.pdf
- LG-GRP-T49.pdf
- LG-GRP-T50.pdf
- LG-GRP-T51.pdf
- LG-GRP-T52.pdf
- LG-GRP-T53.pdf
- LG-GRP-T54.pdf
- LG-GRP-T55.pdf
- LG-GRP-T56.pdf
- LG-GRP-T57.pdf
- LG-GRP-T58.pdf
- LG-GRP-T59.pdf
- LG-GRP-T60.pdf
- LG-GRP-T61.pdf
- LG-GRP-T62.pdf
- LG-GRP-T63.pdf
- LG-GRP-T64.pdf
- LG-GRP-T65.pdf
- LG-GRP-T66.pdf
- LG-GRP-T67.pdf
- LG-GRP-T68.pdf
- LG-GRP-T69.pdf
- LG-GRP-T70.pdf
- LG-GRP-T71.pdf
- LG-GRP-T72.pdf
- LG-GRP-T73.pdf
- LG-GRP-T74.pdf
- LG-GRP-T75.pdf
- LG-GRP-T76.pdf
- LG-GRP-T77.pdf
- LG-GRP-T78.pdf
- LG-GRP-T79.pdf
- LG-GRP-T81.pdf
- LG-GRP-T82.pdf
- LG-GRP-T83.pdf
- LG-GRP-T84.pdf
- LG-GRP-T85.pdf
- LG-GRP-T86.pdf
- LG-GRP-T91.pdf
- LG-GRP-T92.pdf
- LG-GRP-T94.pdf
- LG-GRP-T95.pdf
- LG-GRP-T96.pdf
- LG-GRP-T99.pdf
- LG-GRP-TA8.pdf
- LG-GRP-TB1.pdf
- LG-GRP-TB4.pdf
- LG-GRP-TC1.pdf
- LG-GRP-TD7.pdf
- LG-GRP-TE1.pdf
- LG-GRP-TE2.pdf
- LG-GRP-TE3.pdf
- LG-GRP-TE4.pdf
- LG-GRP-TE5.pdf
- LG-GRP-TE6.pdf
- LG-GRP-TE7.pdf
- LG-GRP-TF1.pdf
- LG-GRP-TF2.pdf
- LG-GRP-TF4.pdf
- LG-GRP-TF5.pdf
- LG-GRP-TF6.pdf
- LG-GRP-TF7.pdf
- LG-GRP-TF8.pdf
- LG-GRP-TI1.pdf
- LG-GRP-TI2.pdf
- LG-GRP-TI4.pdf
- LG-GRP-TI5.pdf
- LG-GRP-TI6.pdf
- LG-GRP-TI7.pdf
- LG-GRP-TI8.pdf
- LG-GRP-TL6.pdf
- LG-GRP-TP0.pdf
- LG-GRP-TP1.pdf
- LG-GRP-TP2.pdf
- LG-GRP-TP4.pdf
- LG-GRP-TP5.pdf
- LG-GRP-TP6.pdf
- LG-GRP-TP7.pdf
- LG-GRP-TP9.pdf
- LG-GRP-TS1.pdf
- LG-GRP-TS2.pdf
- Parrish-Plan-11F.pdf
- SMAG-Bronze-HMO-1-P01.pdf
- SMAG-Bronze-HMO-2-P02.pdf
- SMAG-Gold-HMO-P90.pdf
- SMAG-Gold-HMO-P93.pdf
- SMAG-Gold-HMO-P95.pdf
- SMAG-Gold-Triple-Option-Essential-Plus-M29.pdf
- SMAG-HDHP-Silver-POS-P98.pdf
- SMAG-Platinum-HMO-P91.pdf
- SMAG-Platinum-HMO-P92.pdf
- SMAG-Platinum-POS-P88.pdf
- SMAG-Platinum-Triple-Option-82.pdf
- SMAG-Silver-HMO-3-P03.pdf
- SMAG-Silver-HMO-4-P04.pdf
- SMAG-Silver-HMO-6400-P14.pdf
- SMAG-Silver-HMO-6600-P18.pdf
- SMAG-Silver-HMO-P99.pdf
- SMALL-GRP-S01.pdf
- SMALL-GRP-S02.pdf
- SMALL-GRP-S03.pdf
- SMALL-GRP-S13.pdf
- SMALL-GRP-S14.pdf
- SMALL-GRP-S15.pdf
- SMALL-GRP-S17.pdf
- SMALL-GRP-S18.pdf
- SMALL-GRP-S19.pdf
- SMALL-GRP-S20.pdf
- SMALL-GRP-S21.pdf
- SMALL-GRP-S22.pdf
- SMALL-GRP-S23.pdf
- SMALL-GRP-S26.pdf
- SMALL-GRP-S30.pdf
- SMALL-GRP-S31.pdf
- SMALL-GRP-S32.pdf
- SMALL-GRP-S33.pdf
- SMALL-GRP-S34.pdf
- SMALL-GRP-S35.pdf
- SMALL-GRP-S38.pdf
- SMALL-GRP-S39.pdf
- SMALL-GRP-S41.pdf
- SMALL-GRP-S50.pdf
- SMALL-GRP-S51.pdf
- SMALL-GRP-S52.pdf
- SMALL-GRP-S53.pdf
- SMALL-GRP-S55.pdf
- SMALL-GRP-S56.pdf
- SMALL-GRP-S58.pdf
- SMALL-GRP-S64.pdf
- SMALL-GRP-S65.pdf
- SMALL-GRP-S66.pdf
- SMALL-GRP-S67.pdf
- SMALL-GRP-S68.pdf
- Last updated Apr 19, 2021