Helpful documents
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School Districts
Alta Loma
- 2022 Benefit SummaryHMO 3
- 2022 Summary of Benefits and CoverageHMO 3
- 2022 Evidence of CoverageHMO 3
- 2022 Benefit SummaryTrio HMO 3
- 2022 Summary of Benefits and CoverageTrio HMO 3
- 2022 Evidence of CoverageTrio HMO 3
- 2022 Benefit SummaryPPO 5
- 2022 Summary of Benefits and CoveragePPO 5
- 2022 Evidence of CoveragePPO 5
- 2022 Benefit SummaryTandem 5
- 2022 Summary of Benefits and CoverageTandem 5
- 2022 Evidence of CoverageTandem 5
- 2021 Benefit SummaryHMO 3
- 2021 Summary of Benefits and CoverageHMO 3
- 2021 Evidence of CoverageHMO 3
- 2021 Benefit SummaryTrio HMO 3
- 2021 Summary of Benefits and CoverageTrio HMO 3
- 2021 Evidence of CoverageTrio HMO 3
- 2021 Benefit SummaryPPO 5
- 2021 Summary of Benefits and CoveragePPO 5
- 2021 Evidence of CoveragePPO 5
- 2021 Benefit SummaryTandem 5
- 2021 Summary of Benefits and CoverageTandem PPO 5
- 2021 Evidence of CoverageTandem PPO 5
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
Barstow Unified School District
- 2022 Benefit SummaryAccess HMO 3
- 2022 Summary of Benefits and CoverageAccess HMO 3
- 2022 Evidence of CoverageAccess HMO 3
- 2022 Benefit SummaryHMO 11
- 2022 Summary of Benefits and CoverageHMO 11
- 2022 Evidence of CoverageHMO 11
- 2022 Benefit SummaryTrio HMO 11
- 2022 Evidence of CoverageTrio HMO 11
- 2022 Benefit SummaryHMO 12
- 2022 Summary of Benefits and CoverageHMO 12
- 2022 Evidence of CoverageHMO 12
- 2022 Benefit SummaryPPO Savings HSA ASO 1
- 2022 Benefits Summary and CoveragePPO Savings HSA ASO 1
- 2022 Evidence of CoveragePPO Savings HSA ASO 1
- Non Discrimination and Accessibility Requirements and Language Assistance Services
Bassett
- 2022 Bronze, Gold, Platinum and Silver plan options
- 2022 Blue Shield 65 Plus (HMO) Benefit Summary
- 2022 Blue Shield 65 Plus (HMO) Evidence of Coverage
- 2021 Bronze, Gold, Platinum and Silver plan options
- 2021 Blue Shield 65 Plus (HMO) Benefit Summary
- 2021 Blue Shield 65 Plus (HMO) Evidence of Coverage
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
Beaumont
- 2022 Benefit SummaryHMO 3B
- 2022 Summary of Benefits and CoverageHMO 3B
- 2022 Evidence of CoverageHMO 3B
- 2022 Benefit SummaryTrio HMO 3B
- 2022 Summary of Benefits and CoverageTrio HMO 3B
- 2022 Evidence of CoverageTrio HMO 3B
- 2022 Benefit SummaryHMO 11
- 2022 Summary of Benefits and CoverageHMO 11
- 2022 Evidence of CoverageHMO 11
- 2022 Benefit SummaryTrio HMO 11
- 2022 Evidence of CoverageTrio HMO 11
- 2022 Benefit SummaryTrio HMO 12
- 2022 Benefit SummaryPPO 1 HSA
- 2022 Summary of Benefits and CoveragePPO 1 HSA
- 2022 Evidence of CoveragePPO 1 HSA
- 2022 Benefit SummaryTandem PPO 1 HSA
- 2022 Summary of Benefits and CoverageTandem PPO 1 HSA
- 2022 Evidence of CoverageTandem PPO 1 HSA
- 2022 Benefit SummaryPPO 8
- 2022 Summary of Benefits and CoveragePPO 8
- 2022 Evidence of CoveragePPO 8
- 2022 Benefit SummaryTandem PPO 8
- 2022 Summary of Benefits and CoverageTandem PPO 8
- 2022 Evidence of CoverageTandem PPO 8
- 2022 Blue Shield 65 Plus (HMO) Benefit Summary
- 2022 Blue Shield 65 Plus (HMO) Evidence of Coverage
- 2021 Benefit SummaryHMO 3B
- 2021 Summary of Benefits and CoverageHMO 3B
- 2021 Evidence of CoverageHMO 3B
- 2021 Benefit SummaryTrio HMO 3B
- 2021 Summary of Benefits and CoverageTrio HMO 3B
- 2021 Evidence of CoverageTrio HMO 3B
- 2021 Benefit SummaryHMO 11
- 2021 Summary of Benefits and CoverageHMO 11
- 2021 Evidence of CoverageHMO 11
- 2021 Benefit SummaryTrio HMO 11
- 2021 Summary of Benefits and CoverageTrio HMO 11
- 2021 Evidence of CoverageTrio HMO 11
- 2021 Benefit SummaryTrio HMO 12
- 2021 Summary of Benefits and CoverageTrio HMO 12
- 2021 Benefit SummaryPPO 1 HSA
- 2021 Summary of Benefits and CoveragePPO 1 HSA
- 2021 Evidence of CoveragePPO 1 HSA
- 2021 Benefit SummaryTandem PPO 1 HSA
- 2021 Summary of Benefits and CoverageTandem PPO 1 HSA
- 2021 Evidence of CoverageTandem PPO 1 HSA
- 2021 Benefit SummaryPPO 8
- 2021 Summary of Benefits and CoveragePPO 8
- 2021 Evidence of CoveragePPO 8
- 2021 Benefit SummaryTandem PPO 8
- 2021 Summary of Benefits and CoverageTandem PPO 8
- 2021 Evidence of CoverageTandem PPO 8
- 2021 Blue Shield 65 Plus (HMO) Benefit Summary
- 2021 Blue Shield 65 Plus (HMO) Evidence of Coverage
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
Brea Olinda
- 2022 Benefit SummaryHMO 2
- 2022 Summary of Benefits and CoverageHMO 2
- 2022 Evidence of CoverageHMO 2
- 2022 Benefit SummaryTrio HMO 2
- 2022 Summary of Benefits and CoverageTrio HMO 2
- 2022 Evidence of CoverageTrio HMO 2
- 2022 Benefit SummaryPPO 5
- 2022 Summary of Benefits and CoveragePPO 5
- 2022 Evidence of CoveragePPO 5
- 2022 Benefit SummaryPPO 7
- 2022 Summary of Benefits and CoveragePPO 7
- 2022 Evidence of CoveragePPO 7
- 2021 Benefit SummaryHMO 2
- 2021 Summary of Benefits and CoverageHMO 2
- 2021 Evidence of CoverageHMO 2
- 2021 Benefit SummaryTrio HMO 2
- 2021 Summary of Benefits and CoverageTrio HMO 2
- 2021 Benefit SummaryPPO 5
- 2021 Summary of Benefits and CoveragePPO 5
- 2021 Evidence of CoveragePPO 5
- 2021 Benefit SummaryPPO 7
- 2021 Summary of Benefits and CoveragePPO 7
- 2021 Evidence of CoveragePPO 7
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
Chaffey College
- 2022 Benefit SummaryHMO 2
- 2022 Summary of Benefits and CoverageHMO 2
- 2022 Evidence of CoverageHMO 2
- 2022 Benefit SummaryTrio HMO 2
- 2022 Summary of Benefits and CoverageTrio HMO 2
- 2022 Evidence of CoverageTrio HMO 2
- 2022 Benefit SummaryPPO 9
- 2022 Summary of Benefits and CoveragePPO 9
- 2022 Benefit SummaryTandem PPO 9
- 2022 Summary of Benefits and CoveragePlan 9 Tandem PPO
- 2022 Blue Shield 65 Plus (HMO) Benefit Summary
- 2022 Blue Shield 65 Plus (HMO) Evidence of Coverage
- 2021 Benefit SummaryHMO 2
- 2021 Summary of Benefits and CoverageHMO 2
- 2021 Evidence of CoverageHMO 2
- 2021 Benefit SummaryTrio HMO 2
- 2021 Summary of Benefits and CoverageTrio HMO 2
- 2021 Evidence of CoverageTrio HMO 2
- 2021 Benefit SummaryPPO 9
- 2021 Summary of Benefits and CoveragePPO 9
- 2021 Evidence of CoveragePPO 9
- 2021 Benefit SummaryTandem PPO 9
- 2021 Summary of Benefits and CoverageTandem PPO 9
- 2021 Evidence of CoverageTandem PPO 9
- 2021 Blue Shield 65 Plus (HMO) Benefit Summary
- 2021 Blue Shield 65 Plus (HMO) Evidence of Coverage
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
Chino Valley
- 2022 Benefit SummaryHMO 3A
- 2022 Summary of Benefits and CoverageHMO 3A
- 2022 Evidence of CoverageHMO 3A
- 2022 Benefit SummaryTrio HMO 3A
- 2022 Summary of Benefits and CoverageTrio HMO 3A
- 2022 Evidence of CoverageTrio HMO 3A
- 2022 Benefit SummaryHMO 9A
- 2022 Summary of Benefits and CoverageHMO 9A
- 2022 Evidence of CoverageHMO 9A
- 2022 Benefit SummaryTrio HMO 9A
- 2022 Summary of Benefits and CoverageTrio HMO 9A
- 2022 Evidence of CoverageTrio HMO 9A
- 2022 Benefit SummaryPPO 2
- 2022 Evidence of CoveragePPO 2
- 2022 Benefit SummaryTandem PPO 2
- 2022 Evidence of CoverageTandem PPO 2
- 2022 Benefit SummaryPPO HSA 1
- 2022 Summary of Benefits and CoveragePPO HSA 1
- 2022 Evidence of CoveragePPO HSA 1
- 2022 Benefit SummaryTandem PPO HSA 1
- 2022 Summary of Benefits and CoverageTandem PPO HSA 1
- 2022 Evidence of CoverageTandem PPO HSA 1
- 2022 Benefit SummaryAccess HMO 6
- 2022 Summary of Benefits and CoverageAccess HMO 6
- 2022 Benefit SummaryTrio HMO 6
- 2022 Summary of Benefits and CoverageTrio HMO 6
- 2021 Benefit SummaryHMO 3A
- 2021 Summary of Benefits and CoverageHMO 3A
- 2021 Evidence of CoverageHMO 3A
- 2021 Benefit SummaryTrio HMO 3A
- 2021 Summary of Benefits and CoverageTrio HMO 3A
- 2021 Evidence of CoverageTrio HMO 3A
- 2021 Benefit SummaryHMO 9A
- 2021 Summary of Benefits and CoverageHMO 9A
- 2021 Evidence of CoverageHMO 9A
- 2021 Benefit SummaryTrio HMO 9A
- 2021 Summary of Benefits and CoverageTrio HMO 9A
- 2021 Evidence of CoverageTrio HMO 9A
- 2021 Benefit SummaryPPO 2
- 2021 Summary of Benefits and CoveragePPO 2
- 2021 Evidence of CoveragePPO 2
- 2021 Benefit SummaryTandem PPO 2
- 2021 Summary of Benefits and CoverageTandem PPO 2
- 2021 Evidence of CoverageTandem PPO 2
- 2021 Benefit SummaryPPO HSA 1
- 2021 Summary of Benefits and CoveragePPO HSA 1
- 2021 Evidence of CoveragePPO HSA 1
- 2021 Benefit SummaryTandem PPO HSA 1
- 2021 Summary of Benefits and CoverageTandem PPO HSA 1
- 2021 Evidence of CoverageTandem PPO HSA 1
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
Colton
- 2022 Benefit SummaryHMO 4
- 2022 Summary of Benefits and CoverageHMO 4
- 2022 Evidence of CoverageHMO 4
- 2022 Benefit SummaryTrio HMO 4
- 2022 Summary of Benefits and CoverageTrio HMO 4
- 2022 Evidence of CoverageTrio HMO 4
- 2022 Benefit SummaryPPO 8
- 2022 Summary of Benefits and CoveragePPO 8
- 2022 Evidence of CoveragePPO 8
- 2022 Benefit SummaryTandem PPO 8
- 2022 Summary of Benefits and CoverageTandem PPO 8
- 2022 Evidence of CoverageTandem PPO 8
- 2022 Blue Shield 65 Plus (HMO) Benefit Summary
- 2022 Blue Shield 65 Plus (HMO) Evidence of Coverage
- 2021 Benefit SummaryHMO 4
- 2021 Summary of Benefits and CoverageHMO 4
- 2021 Evidence of CoverageHMO 4
- 2021 Benefit SummaryTrio HMO 4
- 2021 Summary of Benefits and CoverageTrio HMO 4
- 2021 Evidence of CoverageTrio HMO 4
- 2021 Benefit SummaryPPO 8
- 2021 Summary of Benefits and CoveragePPO 8
- 2021 Evidence of CoveragePPO 8
- 2021 Benefit SummaryTandem PPO 8
- 2021 Summary of Benefits and CoverageTandem PPO 8
- 2021 Evidence of CoverageTandem PPO 8
- 2021 Blue Shield 65 Plus (HMO) Benefit Summary
- 2021 Blue Shield 65 Plus (HMO) Evidence of Coverage
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
Covina Valley
- 2022 Benefit SummaryHMO 1
- 2022 Summary of Benefits and CoverageHMO 1
- 2022 Evidence of CoverageHMO 1
- 2022 Benefit SummaryTrio HMO 1
- 2022 Summary of Benefits and CoverageTrio HMO 1
- 2022 Evidence of CoverageTrio HMO 1
- 2022 Benefit SummaryPPO 2
- 2022 Summary of Benefits and CoveragePPO 2
- 2022 Evidence of CoveragePPO 2
- 2022 Benefit SummaryTandem PPO 2
- 2022 Summary of Benefits and CoverageTandem PPO 2
- 2022 Evidence of CoverageTandem PPO 2
- 2021 Benefit SummaryHMO 1
- 2021 Summary of Benefits and CoverageHMO 1
- 2021 Evidence of CoverageHMO 1
- 2021 Benefit SummaryTrio HMO 1
- 2021 Summary of Benefits and CoverageTrio HMO 1
- 2021 Evidence of CoverageTrio HMO 1
- 2021 Benefit SummaryPPO 2
- 2021 Summary of Benefits and CoveragePPO 2
- 2021 Evidence of CoveragePPO 2
- 2021 Benefit SummaryTandem PPO 2
- 2021 Summary of Benefits and CoverageTandem PPO 2
- 2021 Evidence of CoverageTandem PPO 2
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
Cucamonga
- 2022 Bronze, Gold, Platinum and Silver plan options
- 2022 Benefit SummaryHMO 3
- 2022 Summary of Benefits and CoverageHMO 3
- 2022 Evidence of CoverageHMO 3
- 2022 Benefit SummaryTrio HMO 3
- 2022 Summary of Benefits and CoverageTrio HMO 3
- 2022 Evidence of CoverageTrio HMO 3
- 2022 Benefit SummaryHMO F
- 2022 Summary of Benefits and CoverageHMO F
- 2022 Evidence of CoverageHMO F
- 2022 Benefit SummaryTrio HMO F
- 2022 Summary of Benefits and CoverageTrio HMO F
- 2022 Evidence of CoverageTrio HMO F
- 2022 Benefit SummaryPPO 5
- 2022 Summary of Benefits and CoveragePPO 5
- 2022 Evidence of CoveragePPO 5
- 2022 Benefit SummaryTandem PPO 5
- 2022 Summary of Benefits and CoverageTandem PPO 5
- 2022 Evidence of CoverageTandem PPO 5
- 2022 Benefit SummaryPPO 1 HSA
- 2022 Summary of Benefits and CoveragePPO 1 HSA
- 2022 Evidence of CoveragePPO 1 HSA
- 2022 Benefit SummaryTandem PPO 1 HSA
- 2022 Summary of Benefits and CoverageTandem PPO 1 HSA
- 2022 Evidence of CoverageTandem PPO 1 HSA
- 2021 Bronze, Gold, Platinum and Silver plan options
- 2021 Benefit SummaryHMO 3
- 2021 Summary of Benefits and CoverageHMO 3
- 2021 Evidence of CoverageHMO 3
- 2021 Benefit SummaryTrio HMO 3
- 2021 Summary of Benefits and CoverageTrio HMO 3
- 2021 Evidence of CoverageTrio HMO 3
- 2021 Benefit SummaryHMO F
- 2021 Summary of Benefits and CoverageHMO F
- 2021 Evidence of CoverageHMO F
- 2021 Benefit SummaryTrio HMO F
- 2021 Summary of Benefits and CoverageTrio HMO F
- 2021 Evidence of CoverageTrio HMO F
- 2021 Benefit SummaryPPO 5
- 2021 Summary of Benefits and CoveragePPO 5
- 2021 Evidence of CoveragePPO 5
- 2021 Benefit SummaryTandem PPO 5
- 2021 Summary of Benefits and CoverageTandem PPO 5
- 2021 Evidence of CoverageTandem PPO 5
- 2021 Benefit SummaryPPO 1 HSA
- 2021 Summary of Benefits and CoveragePPO 1 HSA
- 2021 Evidence of CoveragePPO 1 HSA
- 2021 Benefit SummaryTandem PPO 1 HSA
- 2021 Summary of Benefits and CoverageTandem PPO 1 HSA
- 2021 Evidence of CoverageTandem PPO 1 HSA
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
Encinitas
- 2022 Benefit SummaryHMO 1C
- 2022 Summary of Benefits and CoverageHMO 1C
- 2022 Benefit SummaryTrio HMO 1C
- 2022 Summary of Benefits and CoverageTrio HMO 1C
- 2022 Benefit SummaryPPO 1
- 2022 Summary of Benefits and CoveragePPO 1
- 2022 Benefit SummaryTandem PPO 1
- 2022 Summary of Benefits and CoverageTandem PPO 1
- 2022 Benefit SummaryASO PPO Plan 1
- 2022 Summary of Benefits and CoverageASO PPO Plan 1
- 2022 Benefit SummaryASP Tandem Plan 1
- 2022 Summary of Benefits and CoverageASO Tandem Plan 1
- 2021 Benefit SummaryHMO 1C
- 2021 Summary of Benefits and CoverageHMO 1C
- 2021 Evidence of CoverageHMO 1C
- 2021 Benefit SummaryTrio HMO 1C
- 2021 Summary of Benefits and CoverageTrio HMO 1C
- 2021 Evidence of CoverageTrio HMO 1C
- 2021 Benefit SummaryPPO 1
- 2021 Summary of Benefits and CoveragePPO 1
- 2021 Evidence of CoveragePPO 1
- 2021 Benefit SummaryTandem PPO 1
- 2021 Summary of Benefits and CoverageTandem PPO 1
- 2021 Evidence of CoverageTandem PPO 1
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
Hemet
- 2022 Benefit SummaryHMO 2
- 2022 Summary of Benefits and CoverageHMO 2
- 2022 Evidence of CoverageHMO 2
- 2022 Benefit SummaryTrio HMO 2
- 2022 Summary of Benefits and CoverageTrio HMO 2
- 2022 Evidence of CoverageTrio HMO 2
- 2022 Benefit SummaryHMO 9A
- 2022 Summary of Benefits and CoverageHMO 9A
- 2022 Evidence of CoverageHMO 9A
- 2022 Benefit SummaryTrio HMO 9A
- 2022 Summary of Benefits and CoverageTrio HMO 9A
- 2022 Evidence of CoverageTrio HMO 9A
- 2022 Benefit SummaryHMO 12
- 2022 Summary of Benefits and CoverageHMO 12
- 2022 Evidence of CoverageHMO 12
- 2022 Benefits SummaryTrio HMO 12
- 2022 Summary of Benefits and CoverageTrio HMO 12
- 2022 Evidence of CoverageTrio HMO 12
- 2022 Benefits SummaryPPO 3
- 2022 Summary of Benefits and CoveragePPO 3
- 2022 Evidence of CoveragePPO 3
- 2022 Benefit SummaryTandem PPO 3
- 2022 Summary of Benefits and CoverageTandem PPO 3
- 2022 Evidence of CoverageTandem PPO 3
- 2022 Benefit SummaryPPO HSA 1
- 2022 Summary of Benefits and CoveragePPO HSA 1
- 2022 Evidence of CoveragePPO HSA 1
- 2022 Benefit SummaryTandem PPO HSA 1
- 2022 Summary of Benefits and CoverageTandem PPO HSA 1
- 2022 Evidence of CoverageTandem PPO HSA 1
- 2021 Benefit SummaryHMO 2
- 2021 Summary of Benefits and CoverageHMO 2
- 2021 Evidence of CoverageHMO 2
- 2021 Benefit SummaryTrio HMO 2
- 2021 Summary of Benefits and CoverageTrio HMO 2
- 2021 Evidence of CoverageTrio HMO 2
- 2021 Benefit SummaryHMO 9A
- 2021 Summary of Benefits and CoverageHMO 9A
- 2021 Evidence of CoverageHMO 9A
- 2021 Benefit SummaryTrio HMO 9A
- 2021 Summary of Benefits and CoverageTrio HMO 9A
- 2021 Evidence of CoverageTrio HMO 9A
- 2021 Benefit SummaryHMO 12
- 2021 Summary of Benefits and CoverageHMO 12
- 2021 Evidence of CoverageHMO 12
- 2021 Benefit SummaryTrio HMO 12
- 2021 Summary of Benefits and CoverageTrio HMO 12
- 2021 Evidence of CoverageTrio HMO 12
- 2021 Benefit SummaryPPO 3
- 2021 Summary of Benefits and CoveragePPO 3
- 2021 Evidence of CoveragePPO 3
- 2021 Benefit SummaryTandem PPO 3
- 2021 Summary of Benefits and CoverageTandem PPO 3
- 2021 Evidence of CoverageTandem PPO 3
- 2021 Benefit SummaryPPO HSA 1
- 2021 Summary of Benefits and CoveragePPO 1 HSA
- 2021 Evidence of CoveragePPO 1 HSA
- 2021 Benefit SummaryTandem PPO HSA 1
- 2021 Summary of Benefits and CoverageTandem PPO 1 HSA
- 2021 Evidence of CoverageTandem PPO 1 HSA
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
Ontario Montclair
- 2022 Benefit SummaryHMO 5
- 2022 Summary of Benefits and Services
- HMO 5 Evidence of Coverage
- 2022 Benefit SummaryTrio HMO 5
- 2022 Summary of Benefits and Services
- Trio HMO 5 Evidence of Coverage
- 2022 Benefit SummaryPPO 7
- 2022 Summary of Benefits and Services
- PPO 7 Evidence of Coverage
- 2022 Benefit SummaryTandem PPO 7
- 2022 Summary of Benefits and Services
- Tandem PPO 7 Evidence of Coverage
- 2022 Blue Shield 65 Plus (HMO) Benefit Summary
- 2022 Blue Shield 65 Plus (HMO) Evidence of Coverage
- 2021 Benefit SummaryHMO 5
- 2021 Summary of Benefits and CoverageHMO 5
- 2021 Evidence of CoverageHMO 5
- 2021 Benefit SummaryTrio HMO 5
- 2021 Summary of Benefits and CoverageTrio HMO 5
- 2021 Evidence of CoverageTrio HMO 5
- 2021 Benefit SummaryPPO 7
- 2021 Summary of Benefits and CoveragePPO 7
- 2021 Evidence of CoveragePPO 7
- 2021 Benefit SummaryTandem PPO 7
- 2021 Summary of Benefits and CoverageTandem PPO 7
- 2021 Evidence of CoverageTandem PPO 7
- 2021 Blue Shield 65 Plus (HMO) Benefit Summary
- 2021 Blue Shield 65 Plus (HMO) Evidence of Coverage
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
Rim of the World
- 2022 Bronze, Gold, Platinum and Silver plan options
- 2022 Blue Shield 65 Plus (HMO) Benefit Summary
- 2022 Blue Shield 65 Plus (HMO) Evidence of Coverage
- 2021 Bronze, Gold, Platinum and Silver plan options
- 2021 Blue Shield 65 Plus (HMO) Benefit Summary
- 2021 Blue Shield 65 Plus (HMO) Evidence of Coverage
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
San Bernardino County Superintendent
- 2022 Benefit SummaryHMO 20
- 2022 Summary of Benefits and Coverage
- HMO 20 Evidence of Coverage
- 2022 Benefit SummaryTrio HMO 20
- 2022 Summary of Benefits and Coverage
- Trio HMO 20 Evidence of Coverage
- 2022 Benefit SummaryHMO 7
- 2022 Summary of Benefits and Coverage
- HMO 7 Evidence of Coverage
- 2022 Benefit SummaryTrio HMO 7
- 2022 Summary of Benefits and Coverage
- Trio HMO 7 Evidence of Coverage
- 2022 Benefit SummaryTrio HMO 12
- 2022 Summary of Benefits and Coverage
- Trio HMO 12 Evidence of Coverage
- 2022 Benefit SummaryPPO HSA A
- PPO HSA A Evidence of Coverage
- 2022 Benefit SummaryTandem PPO HSA A
- Tandem PPO HSA A Evidence of Coverage
- 2022 Benefit SummaryPPO B
- PPO B Evidence of Coverage
- 2022 Benefit SummaryTandem PPO B
- Tandem PPO B Evidence of Coverage
- 2022 Benefit Summary (Needles-Trona only)HRA
- 2022 Summary of Benefits of Coverage
- HRA Evidence of Coverage
- 2022 Blue Shield 65 Plus (HMO) Benefit Summary
- 2022 Blue Shield 65 Plus (HMO) Evidence of Coverage
- 2021 Benefit SummaryHMO 20
- 2021 Summary of Benefits and CoverageHMO 20
- 2021 Evidence of CoverageHMO 20
- 2021 Benefit SummaryTrio HMO 20
- 2021 Summary of Benefits and CoverageTrio HMO 20
- 2021 Evidence of CoverageTrio HMO 20
- 2021 Benefit SummaryHMO 7
- 2021 Summary of Benefits and CoverageHMO 7
- 2021 Evidence of CoverageHMO 7
- 2021 Benefit SummaryTrio HMO 7
- 2021 Summary of Benefits and CoverageTrio HMO 7
- 2021 Evidence of CoverageTrio HMO 7
- 2021 Benefit SummaryPPO HSA A
- 2021 Summary of Benefits and CoveragePPO HSA A
- 2021 Evidence of CoveragePPO HSA A
- 2021 Benefit SummaryTandem PPO HSA A
- 2021 Summary of Benefits and CoverageTandem PPO HSA A
- 2021 Evidence of CoverageTandem PPO HSA A
- 2021 Benefit SummaryPPO B
- 2021 Summary of Benefits and CoveragePPO B
- 2021 Evidence of CoveragePPO B
- 2021 Benefit SummaryTandem PPO B
- 2021 Summary of Benefits and CoverageTandem PPO B
- 2021 Evidence of CoverageTandem PPO B
- 2021 Benefit Summary (Needles-Trona only)HRA
- 2021 Blue Shield 65 Plus (HMO) Benefit Summary
- 2021 Blue Shield 65 Plus (HMO) Evidence of Coverage
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
San Marino
- 2022 Benefit SummaryHMO 2
- 2022 Summary of Benefits and Coverage
- HMO 2 Evidence of Coverage
- 2022 Benefit SummaryTrio HMO 2
- 2022 Summary of Benefits and Coverage
- Trio HMO 2 Evidence of Coverage
- 2022 Benefit SummaryPPO 5
- 2022 Summary of Benefits and Coverage
- PPO 5 Evidence of Coverage
- 2022 Benefit SummaryTandem PPO 5
- 2022 Summary of Benefits and Coverage
- Tandem PPO 5 Evidence of Coverage
- 2021 Benefit SummaryHMO 2
- 2021 Summary of Benefits and CoverageHMO 2
- 2021 Evidence of CoverageHMO 2
- 2021 Benefit SummaryTrio HMO 2
- 2021 Summary of Benefits and CoverageTrio HMO 2
- 2021 Evidence of CoverageTrio HMO 2
- 2021 Benefit SummaryPPO 5
- 2021 Summary of Benefits and CoveragePPO 5
- 2021 Evidence of CoveragePPO 5
- 2021 Benefit SummaryTandem PPO 5
- 2021 Summary of Benefits and CoverageTandem PPO 5
- 2021 Evidence of CoverageTandem PPO 5
- Introducing Tandem PPO
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
Victor Valley
- 2022 Benefit SummaryHMO 1C
- 2022 Summary of Benefits and Coverage
- HMO 1C Evidence of Coverage
- 2022 Benefit SummaryTrio HMO 1C
- 2022 Summary of Benefits and Coverage
- 2022 Benefit SummaryHMO 9
- 2022 Summary of Benefits and Coverage
- HMO 9 Evidence of Coverage
- 2022 Benefit SummaryTrio HMO 9
- 2022 Summary of Benefits and Coverage
- 2022 Benefit SummaryPPO 1
- 2022 Summary of Benefits and Coverage
- PPO 1 Evidence of Coverage
- 2022 Benefit SummaryTandem PPO 1
- 2022 Summary of Benefits and Coverage
- Tandem PPO 1 Evidence of Coverage
- 2021 Benefit SummaryHMO 1C
- 2021 Summary of Benefits and CoverageHMO 1C
- 2021 Evidence of CoverageHMO 1C
- 2021 Benefit SummaryTrio HMO 1C
- 2021 Summary of Benefits and CoverageTrio HMO 1C
- 2021 Evidence of CoverageTrio HMO 1C
- 2021 Benefit SummaryHMO 9
- 2021 Summary of Benefits and CoverageHMO 9
- 2021 Evidence of CoverageHMO 9
- 2021 Benefit SummaryTrio HMO 9
- 2021 Summary of Benefits and CoverageTrio HMO 9
- 2021 Evidence of CoverageTrio HMO 9
- 2021 Benefit SummaryPPO 1
- 2021 Summary of Benefits and CoveragePPO 1
- 2021 Evidence of CoveragePPO 1
- 2021 Benefit SummaryTandem PPO 1
- 2021 Summary of Benefits and CoverageTandem PPO 1
- 2021 Evidence of CoverageTandem PPO 1
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
Yucaipa - Calimesa
- 2020 Benefit SummaryHMO 9
- 2020 Summary of Benefits and CoverageHMO 9
- 2020 Benefit SummaryTrio HMO 9
- 2020 Summary of Benefits and CoverageTrio HMO 9
- 2020 Benefit SummaryHMO 20
- 2020 Summary of Benefits and CoverageHMO 20
- 2020 Benefit SummaryTrio HMO 20
- 2020 Summary of Benefits and CoverageTrio HMO 20
- 2020 Benefit SummaryPPO B
- 2020 Summary of Benefits and CoveragePPO B
- 2020 Benefit SummaryTandem PPO B
- 2020 Summary of Benefits and CoverageTandem PPO B
- 2020 Blue Shield 65 Plus (HMO) Benefit Summary
- Nondiscrimination and Accessibility Requirements & Language Assistance Services