BluePPO EvolutionSM

Large Group (51 + total employees)
Grandfathered (GFD) Plans — for groups that renewed after implementation of the ACA on 9/23/2010 Non-Grandfathered (UGF) Plans — for new or existing groups that enrolled or renewed after implementation of the ACA on 9/23/2010
BluePPO Evolution (LG/GFD) $250 deductible  BluePPO Evolution (LG/UGF) $250 deductible 
BluePPO Evolution (LG/GFD) $500 deductible  BluePPO Evolution (LG/UGF) $500 deductible 
BluePPO Evolution (LG/GFD) $1000 deductible  BluePPO Evolution (LG/UGF) $1000 deductible 
BluePPO Evolution (LG/GFD) $2000 deductible  BluePPO Evolution (LG/UGF) $2000 deductible 
BluePPO Evolution (LG/GFD) $5000 deductible  BluePPO Evolution (LG/UGF) $5000 deductible 

Small Group (2-50 total employees)
Grandfathered (GFD) Plans — for groups that renewed after implementation of the ACA on 9/23/2010 Non-Grandfathered (UGF) Plans — for new or existing groups that enrolled or renewed after implementation of the ACA on 9/23/2010
BluePPO Evolution (SG/GFD) $250 deductible  BluePPO Evolution (SG/UGF) $250 deductible 
BluePPO Evolution (SG/GFD) $500 deductible  BluePPO Evolution (SG/UGF) $500 deductible 
BluePPO Evolution (SG/GFD) $1000 deductible  BluePPO Evolution (SG/UGF) $1000 deductible 
BluePPO Evolution (SG/GFD) $2000 deductible  BluePPO Evolution (SG/UGF) $2000 deductible 
BluePPO Evolution (SG/GFD) $5000 deductible  BluePPO Evolution (SG/UGF) $5000 deductible