Group plan documents
Below are group plan documents for our medical plans.
2022 small group benefit summaries
Plan Tier | Plan Type | 2022 Alaska Small Group plans (1-50) | In-network benefit (per person) | ||||
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Deductible | Out-of-pocket max | PCP office visit copay/coinsurance | SB | SBC | |||
Gold Plans | |||||||
1-Gold | Select | Endeavor Select Gold No Deductible | $0 | $8,550 | 30% | ![]() |
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1-Gold | Select | Endeavor Select Gold 500 | $500 | $6,800 | $30/visit | ![]() |
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1-Gold | Select | Endeavor Select Gold 1000 | $1,000 | $6,400 | $25/visit | ![]() |
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1-Gold | Select | Endeavor Select Gold 1500 | $1,500 | $6,000 | $25/visit | ![]() |
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1-Gold | Select | Endeavor Select Gold 2000 | $2,000 | $6,000 | $30/visit | ![]() |
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1-Gold | Select | Endeavor Select Gold HDHP 1500 | $1,500 | $3,500 | 20% after deductible | ![]() |
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1-Gold | Select | Pioneer Gold 500 (Tier 1) | $500 | $6,400 | $25/visit | ![]() |
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1-Gold | Select | Pioneer Gold 1000 (Tier 1) | $1,000 | $6,400 | $25/visit | ![]() |
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1-Gold | Select | Pioneer Gold 1500 (Tier 1) | $1,500 | $6,000 | $25/visit | ![]() |
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1-Gold | Select | Pioneer Gold 2000 (Tier 1) | $2,000 | $6,000 | $25/visit | ![]() |
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1-Gold | Select | Pioneer Gold 1500 HDHP (Tier 1) | $1,500 | $3,500 | 20% after deductible | ![]() |
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Silver Plans | |||||||
2-Silver | Select | Endeavor Select Silver 2500 | $2,500 | $8,550 | $35/visit | ![]() |
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2-Silver | Select | Endeavor Select Silver 3000 | $3,000 | $8,550 | $35/visit | ![]() |
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2-Silver | Select | Endeavor Select Silver 4000 | $4,000 | $8,550 | $35/visit | ![]() |
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2-Silver | Select | Endeavor Select Silver HDHP 2500 | $2,500 | $6,000 | 25% after deductible | ![]() |
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2-Silver | Select | Endeavor Select Silver HDHP 3250 | $3,250 | $7,000 | 25% after deductible | ![]() |
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2-Silver | Select | Pioneer Silver 2000 (Tier 1) | $2,000 | $8,550 | $35/visit | ![]() |
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2-Silver | Select | Pioneer Silver 2500 (Tier 1) | $2,500 | $8,550 | $35/visit | ![]() |
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2-Silver | Select | Pioneer Silver 3000 (Tier 1) | $3,000 | $8,550 | $35/visit | ![]() |
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2-Silver | Select | Pioneer Silver 4000 (Tier 1) | $4,000 | $8,550 | $35/visit | ![]() |
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2-Silver | Select | Pioneer Silver 2800 HDHP (Tier 1) | $2,800 | $5,400 | 25% after deductible | ![]() |
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2-Silver | Select | Pioneer Silver 3500 HDHP (Tier 1) | $3,500 | $5,000 | 20% after deductible | ![]() |
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Bronze Plans | |||||||
3-Bronze | Select | Endeavor Select Bronze 6000 | $6,000 | $8,700 | $80/visit | ![]() |
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3-Bronze | Select | Endeavor Select Bronze 8550 | $8,550 | $8,550 | 0% after deductible | ![]() |
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3-Bronze | Select | Endeavor Select Bronze HDHP 5950 | $5,950 | $7,000 | 40% after deductible | ![]() |
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3-Bronze | Select | Endeavor Select Bronze HDHP 7000 | $7,000 | $7,000 | 0% after deductible | ![]() |
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3-Bronze | Select | Pioneer Bronze 5500 (Tier 1) | $5,500 | $8,700 | $80/visit | ![]() |
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3-Bronze | Select | Pioneer Bronze 6350 (Tier 1) | $6,350 | $8,700 | $55/visit | ![]() |
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3-Bronze | Select | Pioneer Bronze 8550 (Tier 1) | $8,550 | $8,550 | 0% after deductible | ![]() |
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3-Bronze | Select | Pioneer Bronze 5950 HDHP (Tier 1) | $5,950 | $7,000 | 40% after deductible | ![]() |
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3-Bronze | Select | Pioneer Bronze 6900 HDHP (Tier 1) | $6,900 | $6,900 | 0% after deductible | ![]() |
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