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Your 2025 Summary of Benefits

Medical

Coverage for large employers with 101 or more employees.

VP5 HMO Plan

VP10 HMO Plan

VP20 HMO Plan

MEP HMO Plan

QEP HMO Plan

Dental

D100 Plan

D200 Plan

Vision

V100 Plan

Coverage for employers with 100 or fewer employees.

P5 Platinum HMO Plan

P10 Platinum HMO Plan

Platinum 90 HMO 0/20 Inf. Plan

Gold 80 HMO 250/35 Inf. Plan

Your 2025 Evidence of Coverage

Medical

Coverage for large employers with 101 or more employees.

Dental

D100 Plan

D200 Plan

Vision

V100 Plan

Coverage for employers with 100 or fewer employees.

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