Namara Marketplace

Plan Attributes PUF - 2018

Businessyear

Want total control?

Request access to start using the data.

Statecode

Want total control?

Request access to start using the data.

Issuerid

Want total control?

Request access to start using the data.

Sourcename

Want total control?

Request access to start using the data.

Importdate

Want total control?

Request access to start using the data.

Marketcoverage

Want total control?

Request access to start using the data.

Dentalonlyplan

Want total control?

Request access to start using the data.

Tin

Want total control?

Request access to start using the data.

Standardcomponentid

Want total control?

Request access to start using the data.

Planmarketingname

Want total control?

Request access to start using the data.

Hiosproductid

Want total control?

Request access to start using the data.

Hpid

Want total control?

Request access to start using the data.

Networkid

Want total control?

Request access to start using the data.

Serviceareaid

Want total control?

Request access to start using the data.

Formularyid

Want total control?

Request access to start using the data.

Isnewplan

Want total control?

Request access to start using the data.

Plantype

Want total control?

Request access to start using the data.

Metallevel

Want total control?

Request access to start using the data.

Designtype

Want total control?

Request access to start using the data.

Uniqueplandesign

Want total control?

Request access to start using the data.

Qhpnonqhptypeid

Want total control?

Request access to start using the data.

Isnoticerequiredforpregnancy

Want total control?

Request access to start using the data.

Isreferralrequiredforspecialist

Want total control?

Request access to start using the data.

Specialistrequiringreferral

Want total control?

Request access to start using the data.

Planlevelexclusions

Want total control?

Request access to start using the data.

Indianplanvariationestimatedadvancedpaymentamountperenrollee

Want total control?

Request access to start using the data.

Compositeratingoffered

Want total control?

Request access to start using the data.

Childonlyoffering

Want total control?

Request access to start using the data.

Childonlyplanid

Want total control?

Request access to start using the data.

Wellnessprogramoffered

Want total control?

Request access to start using the data.

Diseasemanagementprogramsoffered

Want total control?

Request access to start using the data.

Ehbpercenttotalpremium

Want total control?

Request access to start using the data.

Ehbpediatricdentalapportionmentquantity

Want total control?

Request access to start using the data.

Isguaranteedrate

Want total control?

Request access to start using the data.

Planeffectivedate

Want total control?

Request access to start using the data.

Planexpirationdate

Want total control?

Request access to start using the data.

Outofcountrycoverage

Want total control?

Request access to start using the data.

Outofcountrycoveragedescription

Want total control?

Request access to start using the data.

Outofserviceareacoverage

Want total control?

Request access to start using the data.

Outofserviceareacoveragedescription

Want total control?

Request access to start using the data.

Nationalnetwork

Want total control?

Request access to start using the data.

Urlforenrollmentpayment

Want total control?

Request access to start using the data.

Formularyurl

Want total control?

Request access to start using the data.

Planid

Want total control?

Request access to start using the data.

Planvariantmarketingname

Want total control?

Request access to start using the data.

Csrvariationtype

Want total control?

Request access to start using the data.

Issueractuarialvalue

Want total control?

Request access to start using the data.

Avcalculatoroutputnumber

Want total control?

Request access to start using the data.

Medicaldrugdeductiblesintegrated

Want total control?

Request access to start using the data.

Medicaldrugmaximumoutofpocketintegrated

Want total control?

Request access to start using the data.

Multipleinnetworktiers

Want total control?

Request access to start using the data.

Firsttierutilization

Want total control?

Request access to start using the data.

Secondtierutilization

Want total control?

Request access to start using the data.

Sbchavingababydeductible

Want total control?

Request access to start using the data.

Sbchavingababycopayment

Want total control?

Request access to start using the data.

Sbchavingababycoinsurance

Want total control?

Request access to start using the data.

Sbchavingababylimit

Want total control?

Request access to start using the data.

Sbchavingdiabetesdeductible

Want total control?

Request access to start using the data.

Sbchavingdiabetescopayment

Want total control?

Request access to start using the data.

Sbchavingdiabetescoinsurance

Want total control?

Request access to start using the data.

Sbchavingdiabeteslimit

Want total control?

Request access to start using the data.

Sbchavingsimplefracturedeductible

Want total control?

Request access to start using the data.

Sbchavingsimplefracturecopayment

Want total control?

Request access to start using the data.

Sbchavingsimplefracturecoinsurance

Want total control?

Request access to start using the data.

Sbchavingsimplefracturelimit

Want total control?

Request access to start using the data.

Specialtydrugmaximumcoinsurance

Want total control?

Request access to start using the data.

Inpatientcopaymentmaximumdays

Want total control?

Request access to start using the data.

Beginprimarycarecostsharingafternumberofvisits

Want total control?

Request access to start using the data.

Beginprimarycaredeductiblecoinsuranceafternumberofcopays

Want total control?

Request access to start using the data.

Mehbinntier1Individualmoop

Want total control?

Request access to start using the data.

Mehbinntier1Familyperpersonmoop

Want total control?

Request access to start using the data.

Mehbinntier1Familypergroupmoop

Want total control?

Request access to start using the data.

Mehbinntier2Individualmoop

Want total control?

Request access to start using the data.

Mehbinntier2Familyperpersonmoop

Want total control?

Request access to start using the data.

Mehbinntier2Familypergroupmoop

Want total control?

Request access to start using the data.

Mehboutofnetindividualmoop

Want total control?

Request access to start using the data.

Mehboutofnetfamilyperpersonmoop

Want total control?

Request access to start using the data.

Mehboutofnetfamilypergroupmoop

Want total control?

Request access to start using the data.

Mehbcombinnoonindividualmoop

Want total control?

Request access to start using the data.

Mehbcombinnoonfamilyperpersonmoop

Want total control?

Request access to start using the data.

Mehbcombinnoonfamilypergroupmoop

Want total control?

Request access to start using the data.

Dehbinntier1Individualmoop

Want total control?

Request access to start using the data.

Dehbinntier1Familyperpersonmoop

Want total control?

Request access to start using the data.

Dehbinntier1Familypergroupmoop

Want total control?

Request access to start using the data.

Dehbinntier2Individualmoop

Want total control?

Request access to start using the data.

Dehbinntier2Familyperpersonmoop

Want total control?

Request access to start using the data.

Dehbinntier2Familypergroupmoop

Want total control?

Request access to start using the data.

Dehboutofnetindividualmoop

Want total control?

Request access to start using the data.

Dehboutofnetfamilyperpersonmoop

Want total control?

Request access to start using the data.

Dehboutofnetfamilypergroupmoop

Want total control?

Request access to start using the data.

Dehbcombinnoonindividualmoop

Want total control?

Request access to start using the data.

Dehbcombinnoonfamilyperpersonmoop

Want total control?

Request access to start using the data.

Dehbcombinnoonfamilypergroupmoop

Want total control?

Request access to start using the data.

Tehbinntier1Individualmoop

Want total control?

Request access to start using the data.

Tehbinntier1Familyperpersonmoop

Want total control?

Request access to start using the data.

Tehbinntier1Familypergroupmoop

Want total control?

Request access to start using the data.

Tehbinntier2Individualmoop

Want total control?

Request access to start using the data.

Tehbinntier2Familyperpersonmoop

Want total control?

Request access to start using the data.

Tehbinntier2Familypergroupmoop

Want total control?

Request access to start using the data.

Tehboutofnetindividualmoop

Want total control?

Request access to start using the data.

Tehboutofnetfamilyperpersonmoop

Want total control?

Request access to start using the data.

Tehboutofnetfamilypergroupmoop

Want total control?

Request access to start using the data.

Tehbcombinnoonindividualmoop

Want total control?

Request access to start using the data.

Tehbcombinnoonfamilyperpersonmoop

Want total control?

Request access to start using the data.

Tehbcombinnoonfamilypergroupmoop

Want total control?

Request access to start using the data.

Mehbdedinntier1Individual

Want total control?

Request access to start using the data.

Mehbdedinntier1Familyperperson

Want total control?

Request access to start using the data.

Mehbdedinntier1Familypergroup

Want total control?

Request access to start using the data.

Mehbdedinntier1Coinsurance

Want total control?

Request access to start using the data.

Mehbdedinntier2Individual

Want total control?

Request access to start using the data.

Mehbdedinntier2Familyperperson

Want total control?

Request access to start using the data.

Mehbdedinntier2Familypergroup

Want total control?

Request access to start using the data.

Mehbdedinntier2Coinsurance

Want total control?

Request access to start using the data.

Mehbdedoutofnetindividual

Want total control?

Request access to start using the data.

Mehbdedoutofnetfamilyperperson

Want total control?

Request access to start using the data.

Mehbdedoutofnetfamilypergroup

Want total control?

Request access to start using the data.

Mehbdedcombinnoonindividual

Want total control?

Request access to start using the data.

Mehbdedcombinnoonfamilyperperson

Want total control?

Request access to start using the data.

Mehbdedcombinnoonfamilypergroup

Want total control?

Request access to start using the data.

Dehbdedinntier1Individual

Want total control?

Request access to start using the data.

Dehbdedinntier1Familyperperson

Want total control?

Request access to start using the data.

Dehbdedinntier1Familypergroup

Want total control?

Request access to start using the data.

Dehbdedinntier1Coinsurance

Want total control?

Request access to start using the data.

Dehbdedinntier2Individual

Want total control?

Request access to start using the data.

Dehbdedinntier2Familyperperson

Want total control?

Request access to start using the data.

Dehbdedinntier2Familypergroup

Want total control?

Request access to start using the data.

Dehbdedinntier2Coinsurance

Want total control?

Request access to start using the data.

Dehbdedoutofnetindividual

Want total control?

Request access to start using the data.

Dehbdedoutofnetfamilyperperson

Want total control?

Request access to start using the data.

Dehbdedoutofnetfamilypergroup

Want total control?

Request access to start using the data.

Dehbdedcombinnoonindividual

Want total control?

Request access to start using the data.

Dehbdedcombinnoonfamilyperperson

Want total control?

Request access to start using the data.

Dehbdedcombinnoonfamilypergroup

Want total control?

Request access to start using the data.

Tehbdedinntier1Individual

Want total control?

Request access to start using the data.

Tehbdedinntier1Familyperperson

Want total control?

Request access to start using the data.

Tehbdedinntier1Familypergroup

Want total control?

Request access to start using the data.

Tehbdedinntier1Coinsurance

Want total control?

Request access to start using the data.

Tehbdedinntier2Individual

Want total control?

Request access to start using the data.

Tehbdedinntier2Familyperperson

Want total control?

Request access to start using the data.

Tehbdedinntier2Familypergroup

Want total control?

Request access to start using the data.

Tehbdedinntier2Coinsurance

Want total control?

Request access to start using the data.

Tehbdedoutofnetindividual

Want total control?

Request access to start using the data.

Tehbdedoutofnetfamilyperperson

Want total control?

Request access to start using the data.

Tehbdedoutofnetfamilypergroup

Want total control?

Request access to start using the data.

Tehbdedcombinnoonindividual

Want total control?

Request access to start using the data.

Tehbdedcombinnoonfamilyperperson

Want total control?

Request access to start using the data.

Tehbdedcombinnoonfamilypergroup

Want total control?

Request access to start using the data.

Ishsaeligible

Want total control?

Request access to start using the data.

Hsaorhraemployercontribution

Want total control?

Request access to start using the data.

Hsaorhraemployercontributionamount

Want total control?

Request access to start using the data.

Urlforsummaryofbenefitscoverage

Want total control?

Request access to start using the data.

Planbrochure

Want total control?

Request access to start using the data.

2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0710015
Endeavor Providence Bronze 5500
73836AK071
AKN002
AKS001
AKF005
New
PPO
Expanded Bronze
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0710015-01
Endeavor Providence Bronze 5500
Standard Bronze On Exchange Plan
0.629149713
Yes
Yes
f
1
5500.00
0.00
1900.00
300.00
5310.00
400.00
300.00
60.00
1460.00
200.00
30.00
0.00
0
0
0
7350.00
$7350 per person
$14700 per group
$22,050
$22050 per person
$44100 per group
Not Applicable
per person not applicable
per group not applicable
5500.00
$5500 per person
$11000 per group
40
$16,500
$16500 per person
$33000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Bronze5500_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Bronze5500_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0710015
Endeavor Providence Bronze 5500
73836AK071
AKN002
AKS001
AKF005
New
PPO
Expanded Bronze
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0710015-00
Endeavor Providence Bronze 5500
Standard Bronze Off Exchange Plan
0.629149713
Yes
Yes
f
1
5500.00
0.00
1900.00
300.00
5310.00
400.00
300.00
60.00
1460.00
200.00
30.00
0.00
0
0
0
7350.00
$7350 per person
$14700 per group
$22,050
$22050 per person
$44100 per group
Not Applicable
per person not applicable
per group not applicable
5500.00
$5500 per person
$11000 per group
40
$16,500
$16500 per person
$33000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Bronze5500_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Bronze5500_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0710017
Endeavor Providence Bronze HDHP 3300
73836AK071
AKN002
AKS001
AKF007
New
PPO
Expanded Bronze
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0710017-01
Endeavor Providence Bronze HDHP 3300
Standard Bronze On Exchange Plan
0.62828673
Yes
Yes
f
1
3300.00
0.00
3300.00
300.00
3300.00
0.00
1800.00
60.00
1930.00
0.00
0.00
0.00
0
0
0
6600.00
$6600 per person
$13200 per group
$19,800
$19800 per person
$39600 per group
Not Applicable
per person not applicable
per group not applicable
3300.00
per person not applicable
$6600 per group
50
$9,900
per person not applicable
$19800 per group
Not Applicable
per person not applicable
per group not applicable
Yes
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Bronze_HDHP_3300_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Bronze_HDHP_3300_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0710017
Endeavor Providence Bronze HDHP 3300
73836AK071
AKN002
AKS001
AKF007
New
PPO
Expanded Bronze
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0710017-00
Endeavor Providence Bronze HDHP 3300
Standard Bronze Off Exchange Plan
0.62828673
Yes
Yes
f
1
3300.00
0.00
3300.00
300.00
3300.00
0.00
1800.00
60.00
1930.00
0.00
0.00
0.00
0
0
0
6600.00
$6600 per person
$13200 per group
$19,800
$19800 per person
$39600 per group
Not Applicable
per person not applicable
per group not applicable
3300.00
per person not applicable
$6600 per group
50
$9,900
per person not applicable
$19800 per group
Not Applicable
per person not applicable
per group not applicable
Yes
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Bronze_HDHP_3300_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Bronze_HDHP_3300_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0880004
Endeavor Providence Silver HDHP 2500
73836AK088
AKN002
AKS001
AKF006
Existing
PPO
Silver
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0880004-01
Endeavor Providence Silver HDHP 2500
Standard Silver On Exchange Plan
0.697573394
Yes
Yes
f
1
2500.00
0.00
2500.00
300.00
2500.00
0.00
1300.00
60.00
1930.00
0.00
0.00
0.00
0
0
0
5250.00
$5250 per person
$10500 per group
$15,750
$15750 per person
$31500 per group
Not Applicable
per person not applicable
per group not applicable
2500.00
per person not applicable
$5000 per group
25
$7,500
per person not applicable
$15000 per group
Not Applicable
per person not applicable
per group not applicable
Yes
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Silver_HDHP_2500_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Silver_HDHP_2500_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0880004
Endeavor Providence Silver HDHP 2500
73836AK088
AKN002
AKS001
AKF006
Existing
PPO
Silver
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0880004-00
Endeavor Providence Silver HDHP 2500
Standard Silver Off Exchange Plan
0.697573394
Yes
Yes
f
1
2500.00
0.00
2500.00
300.00
2500.00
0.00
1300.00
60.00
1930.00
0.00
0.00
0.00
0
0
0
5250.00
$5250 per person
$10500 per group
$15,750
$15750 per person
$31500 per group
Not Applicable
per person not applicable
per group not applicable
2500.00
per person not applicable
$5000 per group
25
$7,500
per person not applicable
$15000 per group
Not Applicable
per person not applicable
per group not applicable
Yes
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Silver_HDHP_2500_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Silver_HDHP_2500_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0880003
Endeavor Providence Silver HDHP 2000
73836AK088
AKN002
AKS001
AKF006
Existing
PPO
Silver
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0880003-01
Endeavor Providence Silver HDHP 2000
Standard Silver On Exchange Plan
0.713552098
Yes
Yes
f
1
2000.00
0.00
2600.00
300.00
2000.00
0.00
1500.00
60.00
1930.00
0.00
0.00
0.00
0
0
0
5250.00
$5250 per person
$10500 per group
$15,750
$15750 per person
$31500 per group
Not Applicable
per person not applicable
per group not applicable
2000.00
per person not applicable
$4000 per group
25
$6,000
per person not applicable
$12000 per group
Not Applicable
per person not applicable
per group not applicable
Yes
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Silver_HDHP_2000_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Silver_HDHP_2000_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0880003
Endeavor Providence Silver HDHP 2000
73836AK088
AKN002
AKS001
AKF006
Existing
PPO
Silver
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0880003-00
Endeavor Providence Silver HDHP 2000
Standard Silver Off Exchange Plan
0.713552098
Yes
Yes
f
1
2000.00
0.00
2600.00
300.00
2000.00
0.00
1500.00
60.00
1930.00
0.00
0.00
0.00
0
0
0
5250.00
$5250 per person
$10500 per group
$15,750
$15750 per person
$31500 per group
Not Applicable
per person not applicable
per group not applicable
2000.00
per person not applicable
$4000 per group
25
$6,000
per person not applicable
$12000 per group
Not Applicable
per person not applicable
per group not applicable
Yes
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Silver_HDHP_2000_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Silver_HDHP_2000_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0820004
Endeavor Providence Bronze 5000
73836AK082
AKN002
AKS001
AKF003
Existing
PPO
Bronze
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0820004-01
Endeavor Providence Bronze 5000
Standard Bronze On Exchange Plan
0.59409672
Yes
Yes
f
1
5000.00
0.00
2400.00
300.00
5000.00
0.00
900.00
60.00
1930.00
0.00
0.00
0.00
0
0
0
7350.00
$7350 per person
$14700 per group
$22,050
$22050 per person
$44100 per group
Not Applicable
per person not applicable
per group not applicable
5000.00
$5000 per person
$10000 per group
50
$15,000
$15000 per person
$30000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Bronze5000_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Bronze5000_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0820004
Endeavor Providence Bronze 5000
73836AK082
AKN002
AKS001
AKF003
Existing
PPO
Bronze
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0820004-00
Endeavor Providence Bronze 5000
Standard Bronze Off Exchange Plan
0.59409672
Yes
Yes
f
1
5000.00
0.00
2400.00
300.00
5000.00
0.00
900.00
60.00
1930.00
0.00
0.00
0.00
0
0
0
7350.00
$7350 per person
$14700 per group
$22,050
$22050 per person
$44100 per group
Not Applicable
per person not applicable
per group not applicable
5000.00
$5000 per person
$10000 per group
50
$15,000
$15000 per person
$30000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Bronze5000_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Bronze5000_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0820003
Endeavor Providence Bronze 4000
73836AK082
AKN002
AKS001
AKF003
Existing
PPO
Bronze
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0820003-01
Endeavor Providence Bronze 4000
Standard Bronze On Exchange Plan
0.605994165
Yes
Yes
f
1
4000.00
0.00
3400.00
300.00
4000.00
0.00
1300.00
60.00
1930.00
0.00
0.00
0.00
0
0
0
7350.00
$7350 per person
$14700 per group
$22,050
$22050 per person
$44100 per group
Not Applicable
per person not applicable
per group not applicable
4000.00
$4000 per person
$8000 per group
50
$12,000
$12000 per person
$24000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Bronze4000_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Bronze4000_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0820003
Endeavor Providence Bronze 4000
73836AK082
AKN002
AKS001
AKF003
Existing
PPO
Bronze
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0820003-00
Endeavor Providence Bronze 4000
Standard Bronze Off Exchange Plan
0.605994165
Yes
Yes
f
1
4000.00
0.00
3400.00
300.00
4000.00
0.00
1300.00
60.00
1930.00
0.00
0.00
0.00
0
0
0
7350.00
$7350 per person
$14700 per group
$22,050
$22050 per person
$44100 per group
Not Applicable
per person not applicable
per group not applicable
4000.00
$4000 per person
$8000 per group
50
$12,000
$12000 per person
$24000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Bronze4000_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Bronze4000_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0710004
Endeavor Providence Silver 4000
73836AK071
AKN002
AKS001
AKF002
Existing
PPO
Silver
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0710004-01
Endeavor Providence Silver 4000
Standard Silver On Exchange Plan
0.700335103
Yes
Yes
f
1
4000.00
40.00
2900.00
300.00
1730.00
1900.00
50.00
60.00
1460.00
200.00
20.00
0.00
0
0
0
7350.00
$7350 per person
$14700 per group
$22,050
$22050 per person
$44100 per group
Not Applicable
per person not applicable
per group not applicable
4000.00
$4000 per person
$8000 per group
35
$12,000
$12000 per person
$24000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Silver4000_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Silver4000_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0710004
Endeavor Providence Silver 4000
73836AK071
AKN002
AKS001
AKF002
Existing
PPO
Silver
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0710004-00
Endeavor Providence Silver 4000
Standard Silver Off Exchange Plan
0.700335103
Yes
Yes
f
1
4000.00
40.00
2900.00
300.00
1730.00
1900.00
50.00
60.00
1460.00
200.00
20.00
0.00
0
0
0
7350.00
$7350 per person
$14700 per group
$22,050
$22050 per person
$44100 per group
Not Applicable
per person not applicable
per group not applicable
4000.00
$4000 per person
$8000 per group
35
$12,000
$12000 per person
$24000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Silver4000_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Silver4000_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0710003
Endeavor Providence Silver 3000
73836AK071
AKN002
AKS001
AKF002
Existing
PPO
Silver
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0710003-01
Endeavor Providence Silver 3000
Standard Silver On Exchange Plan
0.709104254
Yes
Yes
f
1
3000.00
40.00
3300.00
300.00
1730.00
1900.00
50.00
60.00
1460.00
200.00
20.00
0.00
0
0
0
7350.00
$7350 per person
$14700 per group
$22,050
$22050 per person
$44100 per group
Not Applicable
per person not applicable
per group not applicable
3000.00
$3000 per person
$6000 per group
35
$9,000
$9000 per person
$18000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Silver3000_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Silver3000_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0710003
Endeavor Providence Silver 3000
73836AK071
AKN002
AKS001
AKF002
Existing
PPO
Silver
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0710003-00
Endeavor Providence Silver 3000
Standard Silver Off Exchange Plan
0.709104254
Yes
Yes
f
1
3000.00
40.00
3300.00
300.00
1730.00
1900.00
50.00
60.00
1460.00
200.00
20.00
0.00
0
0
0
7350.00
$7350 per person
$14700 per group
$22,050
$22050 per person
$44100 per group
Not Applicable
per person not applicable
per group not applicable
3000.00
$3000 per person
$6000 per group
35
$9,000
$9000 per person
$18000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Silver3000_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Silver3000_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0700004
Endeavor Providence Silver 2500
73836AK070
AKN002
AKS001
AKF002
Existing
PPO
Silver
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0700004-01
Endeavor Providence Silver 2500
Standard Silver On Exchange Plan
0.714196731
Yes
Yes
f
1
2500.00
40.00
3500.00
300.00
1730.00
1900.00
50.00
60.00
1460.00
200.00
20.00
0.00
0
0
0
7350.00
$7350 per person
$14700 per group
$22,050
$22050 per person
$44100 per group
Not Applicable
per person not applicable
per group not applicable
2500.00
$2500 per person
$5000 per group
35
$7,500
$7500 per person
$15000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Silver2500_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Silver2500_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0700004
Endeavor Providence Silver 2500
73836AK070
AKN002
AKS001
AKF002
Existing
PPO
Silver
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0700004-00
Endeavor Providence Silver 2500
Standard Silver Off Exchange Plan
0.714196731
Yes
Yes
f
1
2500.00
40.00
3500.00
300.00
1730.00
1900.00
50.00
60.00
1460.00
200.00
20.00
0.00
0
0
0
7350.00
$7350 per person
$14700 per group
$22,050
$22050 per person
$44100 per group
Not Applicable
per person not applicable
per group not applicable
2500.00
$2500 per person
$5000 per group
35
$7,500
$7500 per person
$15000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Silver2500_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Silver2500_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0710002
Endeavor Providence Silver 2000
73836AK071
AKN002
AKS001
AKF002
Existing
PPO
Silver
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0710002-01
Endeavor Providence Silver 2000
Standard Silver On Exchange Plan
0.719996654
Yes
Yes
f
1
2000.00
40.00
3600.00
300.00
1730.00
1900.00
50.00
60.00
1460.00
200.00
20.00
0.00
0
0
0
7350.00
$7350 per person
$14700 per group
$22,050
$22050 per person
$44100 per group
Not Applicable
per person not applicable
per group not applicable
2000.00
$2000 per person
$4000 per group
35
$6,000
$6000 per person
$12000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Silver2000_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Silver2000_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0710002
Endeavor Providence Silver 2000
73836AK071
AKN002
AKS001
AKF002
Existing
PPO
Silver
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0710002-00
Endeavor Providence Silver 2000
Standard Silver Off Exchange Plan
0.719996654
Yes
Yes
f
1
2000.00
40.00
3600.00
300.00
1730.00
1900.00
50.00
60.00
1460.00
200.00
20.00
0.00
0
0
0
7350.00
$7350 per person
$14700 per group
$22,050
$22050 per person
$44100 per group
Not Applicable
per person not applicable
per group not applicable
2000.00
$2000 per person
$4000 per group
35
$6,000
$6000 per person
$12000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Silver2000_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Silver2000_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0700003
Endeavor Providence Gold 1500
73836AK070
AKN002
AKS001
AKF001
Existing
PPO
Gold
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0700003-01
Endeavor Providence Gold 1500
Standard Gold On Exchange Plan
0.794060591
Yes
Yes
f
1
1500.00
40.00
2200.00
300.00
1500.00
1100.00
70.00
60.00
1190.00
400.00
10.00
0.00
0
0
0
7000.00
$7000 per person
$14000 per group
$21,000
$21000 per person
$42000 per group
Not Applicable
per person not applicable
per group not applicable
1500.00
$1500 per person
$3000 per group
20
$4,500
$4500 per person
$9000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Gold1500_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Gold1500_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0700003
Endeavor Providence Gold 1500
73836AK070
AKN002
AKS001
AKF001
Existing
PPO
Gold
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0700003-00
Endeavor Providence Gold 1500
Standard Gold Off Exchange Plan
0.794060591
Yes
Yes
f
1
1500.00
40.00
2200.00
300.00
1500.00
1100.00
70.00
60.00
1190.00
400.00
10.00
0.00
0
0
0
7000.00
$7000 per person
$14000 per group
$21,000
$21000 per person
$42000 per group
Not Applicable
per person not applicable
per group not applicable
1500.00
$1500 per person
$3000 per group
20
$4,500
$4500 per person
$9000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Gold1500_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Gold1500_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0700002
Endeavor Providence Gold 1000
73836AK070
AKN002
AKS001
AKF001
Existing
PPO
Gold
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0700002-01
Endeavor Providence Gold 1000
Standard Gold On Exchange Plan
0.802456118
Yes
Yes
f
1
1000.00
40.00
2300.00
300.00
1000.00
1100.00
200.00
60.00
1000.00
400.00
50.00
0.00
0
0
0
7000.00
$7000 per person
$14000 per group
$21,000
$21000 per person
$42000 per group
Not Applicable
per person not applicable
per group not applicable
1000.00
$1000 per person
$2000 per group
20
$3,000
$3000 per person
$6000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Gold1000_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Gold1000_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0700002
Endeavor Providence Gold 1000
73836AK070
AKN002
AKS001
AKF001
Existing
PPO
Gold
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0700002-00
Endeavor Providence Gold 1000
Standard Gold Off Exchange Plan
0.802456118
Yes
Yes
f
1
1000.00
40.00
2300.00
300.00
1000.00
1100.00
200.00
60.00
1000.00
400.00
50.00
0.00
0
0
0
7000.00
$7000 per person
$14000 per group
$21,000
$21000 per person
$42000 per group
Not Applicable
per person not applicable
per group not applicable
1000.00
$1000 per person
$2000 per group
20
$3,000
$3000 per person
$6000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Gold1000_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Gold1000_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0700001
Endeavor Providence Gold 500
73836AK070
AKN002
AKS001
AKF001
Existing
PPO
Gold
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0700001-01
Endeavor Providence Gold 500
Standard Gold On Exchange Plan
0.813083276
Yes
Yes
f
1
500.00
40.00
2400.00
300.00
500.00
1100.00
300.00
60.00
500.00
400.00
200.00
0.00
0
0
0
7000.00
$7000 per person
$14000 per group
$21,000
$21000 per person
$42000 per group
Not Applicable
per person not applicable
per group not applicable
500.00
$500 per person
$1000 per group
20
$1,500
$1500 per person
$3000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Gold500_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Gold500_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0700001
Endeavor Providence Gold 500
73836AK070
AKN002
AKS001
AKF001
Existing
PPO
Gold
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0700001-00
Endeavor Providence Gold 500
Standard Gold Off Exchange Plan
0.813083276
Yes
Yes
f
1
500.00
40.00
2400.00
300.00
500.00
1100.00
300.00
60.00
500.00
400.00
200.00
0.00
0
0
0
7000.00
$7000 per person
$14000 per group
$21,000
$21000 per person
$42000 per group
Not Applicable
per person not applicable
per group not applicable
500.00
$500 per person
$1000 per group
20
$1,500
$1500 per person
$3000 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Gold500_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Gold500_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0810002
Endeavor Providence Bronze 7350
73836AK081
AKN002
AKS001
AKF004
Existing
PPO
Bronze
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0810002-01
Endeavor Providence Bronze 7350
Standard Bronze On Exchange Plan
0.605988703
Yes
Yes
f
1
7350.00
0.00
0.00
300.00
5310.00
800.00
0.00
60.00
1460.00
400.00
0.00
0.00
0
0
0
7350.00
$7350 per person
$14700 per group
$22,050
$22050 per person
$44100 per group
Not Applicable
per person not applicable
per group not applicable
7350.00
$7350 per person
$14700 per group
0
$22,050
$22050 per person
$44100 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Bronze7350_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Bronze7350_SG_2018_AK.pdf
2018
AK
73836
HIOS
2017-09-02 02:21:00
SHOP (Small Group)
f
93-0989307
73836AK0810002
Endeavor Providence Bronze 7350
73836AK081
AKN002
AKS001
AKF004
Existing
PPO
Bronze
Not Applicable
No
Both
No
No
t
Allows Adult and Child-Only
No
Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
2018-01-01 00:00:00
f
t
Travel Network
f
http://www.modahealth.com/pdl?type=SG&state=AK
73836AK0810002-00
Endeavor Providence Bronze 7350
Standard Bronze Off Exchange Plan
0.605988703
Yes
Yes
f
1
7350.00
0.00
0.00
300.00
5310.00
800.00
0.00
60.00
1460.00
400.00
0.00
0.00
0
0
0
7350.00
$7350 per person
$14700 per group
$22,050
$22050 per person
$44100 per group
Not Applicable
per person not applicable
per group not applicable
7350.00
$7350 per person
$14700 per group
0
$22,050
$22050 per person
$44100 per group
Not Applicable
per person not applicable
per group not applicable
No
No
https://www.modahealth.com/pdfs/sbcs/ak/170101/Moda_Endeavor_Providence_Bronze7350_SBC_SG_2018_AK.pdf
https://www.modahealth.com/pdfs/ben_sum/AK/170101/Moda_Endeavor_Providence_Bronze7350_SG_2018_AK.pdf
2018
AK
74819
HIOS
2017-08-08 02:20:00
Individual
t
95-6042390
74819AK0020006
BESTOne Basic Silver
74819AK002
AKN001
AKS001
Existing
PPO
Low
Not Applicable
Both
f
Allows Adult and Child-Only
1
Estimated Rate
2018-01-01 00:00:00
12/31/2018 12:00:00 AM
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0020006-01
BESTOne Basic Silver
Standard Low On Exchange Plan
0.708
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
$75
$75 per person
per group not applicable
$100
$100 per person
per group not applicable
per person not applicable
per group not applicable
https://www.bestlife.com/ak/current/AK_BESTOne_Dental_Basic-Silver_Plan.pdf
2018
AK
74819
HIOS
2017-08-08 02:20:00
Individual
t
95-6042390
74819AK0020006
BESTOne Basic Silver
74819AK002
AKN001
AKS001
Existing
PPO
Low
Not Applicable
Both
f
Allows Adult and Child-Only
1
Estimated Rate
2018-01-01 00:00:00
12/31/2018 12:00:00 AM
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0020006-00
BESTOne Basic Silver
Standard Low Off Exchange Plan
0.708
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
$75
$75 per person
per group not applicable
$100
$100 per person
per group not applicable
per person not applicable
per group not applicable
https://www.bestlife.com/ak/current/AK_BESTOne_Dental_Basic-Silver_Plan.pdf
2018
AK
74819
HIOS
2017-08-08 02:20:00
Individual
t
95-6042390
74819AK0020005
BESTOne Plus Silver
74819AK002
AKN001
AKS001
Existing
PPO
Low
Not Applicable
Both
f
Allows Adult and Child-Only
1
Estimated Rate
2018-01-01 00:00:00
12/31/2018 12:00:00 AM
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0020005-00
BESTOne Plus Silver
Standard Low Off Exchange Plan
0.708
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
$75
$75 per person
per group not applicable
$100
$100 per person
per group not applicable
per person not applicable
per group not applicable
https://www.bestlife.com/ak/current/AK_BESTOne_Dental_Plus-Silver_Plan.pdf
2018
AK
74819
HIOS
2017-08-08 02:20:00
Individual
t
95-6042390
74819AK0020004
BESTOne Plus Gold
74819AK002
AKN001
AKS001
Existing
PPO
High
Not Applicable
Both
f
Allows Adult and Child-Only
1
Estimated Rate
2018-01-01 00:00:00
12/31/2018 12:00:00 AM
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0020004-01
BESTOne Plus Gold
Standard High On Exchange Plan
0.87
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
50
$50 per person
$150 per group
https://www.bestlife.com/ak/current/AK_BESTOne_Dental_Plus-Gold_Plan.pdf
2018
AK
74819
HIOS
2017-08-08 02:20:00
Individual
t
95-6042390
74819AK0020004
BESTOne Plus Gold
74819AK002
AKN001
AKS001
Existing
PPO
High
Not Applicable
Both
f
Allows Adult and Child-Only
1
Estimated Rate
2018-01-01 00:00:00
12/31/2018 12:00:00 AM
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0020004-00
BESTOne Plus Gold
Standard High Off Exchange Plan
0.87
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
50
$50 per person
$150 per group
https://www.bestlife.com/ak/current/AK_BESTOne_Dental_Plus-Gold_Plan.pdf
2018
AK
74819
HIOS
2017-08-08 02:20:00
Individual
t
95-6042390
74819AK0020003
BESTOne Advantage Gold
74819AK002
AKN001
AKS001
Existing
PPO
High
Not Applicable
Both
f
Allows Adult and Child-Only
1
Estimated Rate
2018-01-01 00:00:00
12/31/2018 12:00:00 AM
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0020003-01
BESTOne Advantage Gold
Standard High On Exchange Plan
0.87
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
50
$50 per person
$150 per group
https://www.bestlife.com/ak/current/AK_BESTOne_Dental_Advantage-Gold_Plan.pdf
2018
AK
74819
HIOS
2017-08-08 02:20:00
Individual
t
95-6042390
74819AK0020003
BESTOne Advantage Gold
74819AK002
AKN001
AKS001
Existing
PPO
High
Not Applicable
Both
f
Allows Adult and Child-Only
1
Estimated Rate
2018-01-01 00:00:00
12/31/2018 12:00:00 AM
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0020003-00
BESTOne Advantage Gold
Standard High Off Exchange Plan
0.87
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
50
$50 per person
$150 per group
https://www.bestlife.com/ak/current/AK_BESTOne_Dental_Advantage-Gold_Plan.pdf
2018
AK
74819
HIOS
2017-08-08 02:20:00
Individual
t
95-6042390
74819AK0020005
BESTOne Plus Silver
74819AK002
AKN001
AKS001
Existing
PPO
Low
Not Applicable
Both
f
Allows Adult and Child-Only
1
Estimated Rate
2018-01-01 00:00:00
12/31/2018 12:00:00 AM
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0020005-01
BESTOne Plus Silver
Standard Low On Exchange Plan
0.708
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
$75
$75 per person
per group not applicable
$100
$100 per person
per group not applicable
per person not applicable
per group not applicable
https://www.bestlife.com/ak/current/AK_BESTOne_Dental_Plus-Silver_Plan.pdf
2018
AK
74819
HIOS
2017-08-08 02:20:00
SHOP (Small Group)
t
95-6042390
74819AK0010012
BESTDental Value
74819AK001
AKN001
AKS001
Existing
PPO
Low
Not Applicable
Both
f
Allows Adult and Child-Only
1
Guaranteed Rate
2018-01-01 00:00:00
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0010012-01
BESTDental Value
Standard Low On Exchange Plan
0.708
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
$75
$75 per person
per group not applicable
$100
$100 per person
per group not applicable
per person not applicable
per group not applicable
2018
AK
74819
HIOS
2017-08-08 02:20:00
SHOP (Small Group)
t
95-6042390
74819AK0010012
BESTDental Value
74819AK001
AKN001
AKS001
Existing
PPO
Low
Not Applicable
Both
f
Allows Adult and Child-Only
1
Guaranteed Rate
2018-01-01 00:00:00
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0010012-00
BESTDental Value
Standard Low Off Exchange Plan
0.708
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
$75
$75 per person
per group not applicable
$100
$100 per person
per group not applicable
per person not applicable
per group not applicable
2018
AK
74819
HIOS
2017-08-08 02:20:00
SHOP (Small Group)
t
95-6042390
74819AK0010011
BESTDental Choice - L
74819AK001
AKN001
AKS001
Existing
PPO
Low
Not Applicable
Both
f
Allows Adult and Child-Only
1
Guaranteed Rate
2018-01-01 00:00:00
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0010011-01
BESTDental Choice - L
Standard Low On Exchange Plan
0.708
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
$75
$75 per person
per group not applicable
$100
$100 per person
per group not applicable
per person not applicable
per group not applicable
2018
AK
74819
HIOS
2017-08-08 02:20:00
SHOP (Small Group)
t
95-6042390
74819AK0010008
BESTDental Standard - H
74819AK001
AKN001
AKS001
Existing
PPO
High
Not Applicable
Both
f
Allows Adult and Child-Only
1
Guaranteed Rate
2018-01-01 00:00:00
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0010008-00
BESTDental Standard - H
Standard High Off Exchange Plan
0.87
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
50
$50 per person
per group not applicable
2018
AK
74819
HIOS
2017-08-08 02:20:00
SHOP (Small Group)
t
95-6042390
74819AK0010007
BESTDental Premium
74819AK001
AKN001
AKS001
Existing
PPO
High
Not Applicable
Both
f
Allows Adult and Child-Only
1
Guaranteed Rate
2018-01-01 00:00:00
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0010007-01
BESTDental Premium
Standard High On Exchange Plan
0.87
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
50
$50 per person
per group not applicable
2018
AK
74819
HIOS
2017-08-08 02:20:00
SHOP (Small Group)
t
95-6042390
74819AK0010007
BESTDental Premium
74819AK001
AKN001
AKS001
Existing
PPO
High
Not Applicable
Both
f
Allows Adult and Child-Only
1
Guaranteed Rate
2018-01-01 00:00:00
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0010007-00
BESTDental Premium
Standard High Off Exchange Plan
0.87
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
50
$50 per person
per group not applicable
2018
AK
74819
HIOS
2017-08-08 02:20:00
SHOP (Small Group)
t
95-6042390
74819AK0010011
BESTDental Choice - L
74819AK001
AKN001
AKS001
Existing
PPO
Low
Not Applicable
Both
f
Allows Adult and Child-Only
1
Guaranteed Rate
2018-01-01 00:00:00
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0010011-00
BESTDental Choice - L
Standard Low Off Exchange Plan
0.708
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
$75
$75 per person
per group not applicable
$100
$100 per person
per group not applicable
per person not applicable
per group not applicable
2018
AK
74819
HIOS
2017-08-08 02:20:00
SHOP (Small Group)
t
95-6042390
74819AK0010009
BESTDental Standard - L
74819AK001
AKN001
AKS001
Existing
PPO
Low
Not Applicable
Both
f
Allows Adult and Child-Only
1
Guaranteed Rate
2018-01-01 00:00:00
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0010009-01
BESTDental Standard - L
Standard Low On Exchange Plan
0.708
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
$75
$75 per person
per group not applicable
$100
$100 per person
per group not applicable
per person not applicable
per group not applicable
2018
AK
74819
HIOS
2017-08-08 02:20:00
SHOP (Small Group)
t
95-6042390
74819AK0010009
BESTDental Standard - L
74819AK001
AKN001
AKS001
Existing
PPO
Low
Not Applicable
Both
f
Allows Adult and Child-Only
1
Guaranteed Rate
2018-01-01 00:00:00
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0010009-00
BESTDental Standard - L
Standard Low Off Exchange Plan
0.708
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
$75
$75 per person
per group not applicable
$100
$100 per person
per group not applicable
per person not applicable
per group not applicable
2018
AK
74819
HIOS
2017-08-08 02:20:00
SHOP (Small Group)
t
95-6042390
74819AK0010010
BESTDental Choice - H
74819AK001
AKN001
AKS001
Existing
PPO
High
Not Applicable
Both
f
Allows Adult and Child-Only
1
Guaranteed Rate
2018-01-01 00:00:00
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0010010-01
BESTDental Choice - H
Standard High On Exchange Plan
0.87
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
50
$50 per person
per group not applicable
2018
AK
74819
HIOS
2017-08-08 02:20:00
SHOP (Small Group)
t
95-6042390
74819AK0010010
BESTDental Choice - H
74819AK001
AKN001
AKS001
Existing
PPO
High
Not Applicable
Both
f
Allows Adult and Child-Only
1
Guaranteed Rate
2018-01-01 00:00:00
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0010010-00
BESTDental Choice - H
Standard High Off Exchange Plan
0.87
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
50
$50 per person
per group not applicable
2018
AK
74819
HIOS
2017-08-08 02:20:00
SHOP (Small Group)
t
95-6042390
74819AK0010008
BESTDental Standard - H
74819AK001
AKN001
AKS001
Existing
PPO
High
Not Applicable
Both
f
Allows Adult and Child-Only
1
Guaranteed Rate
2018-01-01 00:00:00
f
t
Full
t
http://www.bestlife.com/exchange/payment_option.html
74819AK0010008-01
BESTDental Standard - H
Standard High On Exchange Plan
0.87
f
1
0
0
0
$350
$350 per person
$700 per group
$700
$700 per person
$1400 per group
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
50
$50 per person
per group not applicable
2018
AL
18756
HIOS
2017-05-25 02:20:00
SHOP (Small Group)
t
13-5581829
18756AL0140001
EHB Basic Dental Plan (Low)
18756AL014
ALN001
ALS001
Existing
PPO
Low
Not Applicable
Off the Exchange
When sold off the exchange, MetLife's Dental EHB plans and benefits will meet the stated actuarial value, but the exact plan and benefit design may vary according to the terms of the insurance certificate.
f
Allows Child-Only
1
Guaranteed Rate
2018-01-01 00:00:00
t
Payment is made to the employee in U.S. dollars and is based upon the rate of exchange for the date in which the expense was incurred. Covered services should be a recognized ADA procedure code to identify the service provided.
t
The PPO plan has an indemnity schedule of benefits for out of service area coverage.
t
18756AL0140001-00
EHB Basic Dental Plan (Low)
Standard Low Off Exchange Plan
0.7
f
1
0
0
0
$350
$350 per person
$700 per group
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
$100
per person not applicable
per group not applicable
$100
per person not applicable
per group not applicable
per person not applicable
per group not applicable
2018
AL
44580
HIOS
2017-08-08 02:20:00
Individual
t
39-1263473
44580AL0380001
Humana Dental Smart Choice - Low
44580AL038
ALN001
ALS001
Existing
PPO
Low
Not Applicable
On the Exchange
f
Allows Adult and Child-Only
0
Guaranteed Rate
2018-01-01 00:00:00
t
Out of Country Coverage is covered for any expense incurred for services received outside of the United States as required by law for emergency care services.
t
Any covered expense incurred for services received from an out of network provider will be covered at a lower coinsurance, based on the maximum allowable fee and providers can balance bill which will result in higher out of pocket costs, except for covered expense incurred for services received outside of the service area as required by law for emergency care services.
t
https://www.humana.com/mvc/HumanaOne/OHBPWelcome/FederalExchangeLandingPage
44580AL0380001-01
Humana Dental Smart Choice - Low
Standard Low On Exchange Plan
0.699
f
1
0
0
0
$350
$350 per person
$700 per group
Not Applicable
per person not applicable
per group not applicable
Not Applicable
per person not applicable
per group not applicable
$35
per person not applicable
per group not applicable
$35
per person not applicable
per group not applicable
per person not applicable
per group not applicable
http://apps.humana.com/marketing/documents.asp?file=3110237

Want to start using the data?

Namara offers a connection to over 250K data feeds from every industry and the tools to drive value and insight.