Summary of Benefits and Coverage

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2019 WPS WI Small Group Summary of Benefits and Coverage

Copay HDHP
Plan Name Plan Name
WPS WI PPO Platinum 500 WPS WI PPO HDHP Gold 2000
WPS WI PPO Gold 1000 WPS WI PPO HDHP Gold 2800
WPS WI PPO Gold 1500 WPS WI PPO HDHP Silver 1550
WPS WI PPO Gold 2000 WPS WI PPO HDHP Silver 2500
WPS WI PPO Gold 2500 WPS WI PPO HDHP Silver 3500
WPS WI PPO Silver 4500 0% WPS WI PPO HDHP Silver 2700
WPS WI PPO Silver 3000 WPS WI PPO HDHP Silver 3850
WPS WI PPO Silver 3500 WPS WI PPO HDHP Bronze 5500
WPS WI PPO Silver 4500 20% WPS WI PPO HDHP Bronze 6750
WPS WI PPO Silver 5500 -
WPS WI PPO Silver 6500 -

2019 WPS IL Small Group Summary of Benefits and Coverage

Copay HDHP
Plan Name Plan Name
WPS IL PPO Platinum 500 WPS IL PPO HDHP Gold 2000
WPS IL PPO Gold 1000 WPS IL PPO HDHP Gold 2800
WPS IL PPO Gold 1500 WPS IL PPO HDHP Silver 1550
WPS IL PPO Gold 2000 WPS IL PPO HDHP Silver 2500
WPS IL PPO Gold 2500 WPS IL PPO HDHP Silver 3500
WPS IL PPO Silver 4500 0% WPS IL PPO HDHP Silver 2700
WPS IL PPO Silver 3000 WPS IL PPO HDHP Silver 3850
WPS IL PPO Silver 3500 WPS IL PPO HDHP Bronze 5500
WPS IL PPO Silver 4500 20% WPS IL PPO HDHP Bronze 6750
WPS IL PPO Silver 5500 -
WPS IL PPO Silver 6500 -

2019 WPS Individual Summary of Benefits and Coverage

Copay HDHP
Plan Name Plan Name
WPS PPO Bronze 4700 WPS PPO Bronze 7900
WPS PPO HDHP Bronze 5500 WPS PPO HDHP Bronze 6750
WPS PPO Catastrophic 7900 -

   

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