Summary of Benefits

2018 CA Forms

On-Exchange Summaries of Benefits and Coverage

Bronze 60 EPO   English PDF

Bronze 60 HDHP EPO  English PDF

Silver 70 EPO  English PDF

Silver 73 EPO  English PDF

Silver 87 EPO  English PDF

Silver 94 EPO  English PDF

Gold 80 EPO  English PDF

Platinum 90 EPO  English PDF

Minimum Coverage EPO  English PDF

AI-AN EPO  English PDF

Off-Exchange Summaries of Benefits and Coverage

Bronze 60 EPO  English PDF

 Bronze 60 HDHP EPO  English PDF

Silver 70 EPO  English PDF

Gold 80 EPO  English PDF

Platinum 90 EPO   English PDF

Minimum Coverage EPO  English PDF

Simple Bronze  English PDF

Simple Silver  English PDF

Simple Gold  English PDF

Saver Silver  English PDF

Saver Gold   English PDF