If your plan is a grandfathered small employer plan (50 or fewer employees):
300 80/60 plan w/out mental illness coverage (PDF)If your plan is a grandfathered large employer plan (51 or more employees):
150 80/60 plan (PDF)If your plan is a non-grandfathered transitional small employer plan (50 or fewer employees):
150 90/80 plan (PDF)© Copyright 2003. WMI Mutual™ Insurance Company
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