Plan Documents: Generic

Plan Documents: Generic

(Must have Acrobat Reader to view PDF documents, download is free)

If your plan is a grandfathered small employer plan (50 or fewer employees):

1500 60/45 plan (PDF)

If your plan is a non-grandfathered transitional small employer plan (50 or fewer employees):

1500 60/45 plan (PDF)
High Deductible Health Plan 2 (PDF)

If your plan is a non-grandfathered large employer plan (51 or more employees):

High Deductible Health Plan 1 (PDF)
High Deductible Health Plan 2 (PDF)