Benefit Summaries
for Group Products
for Group Products
Blue PPO OptionsSM
| 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 |
Blue PPO Options Plan 10A (LG/GFD)  |
Blue PPO Options Plan 10A (LG/UGF) |
| Blue PPO Options Plan 10B (LG/GFD) |
Blue PPO Options Plan 10B (LG/UGF) |
| Blue PPO Options Plan 15 (LG/GFD) |
Blue PPO Options Plan 15 (LG/UGF) |
| Blue PPO Options Plan 20 (LG/GFD) |
Blue PPO Options Plan 20 (LG/UGF) |
| Blue PPO Options Plan 30 (LG/GFD) |
Blue PPO Options Plan 30 (LG/UGF) |
| 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 |
| Blue PPO Options Plan 10A (SG/GFD) |
Blue PPO Options Plan 10A (SG/UGF) |
| Blue PPO Options Plan 10B (SG/GFD) |
Blue PPO Options Plan 10B (SG/UGF) |
| Blue PPO Options Plan 15 (SG/GFD) |
Blue PPO Options Plan 15 (SG/UGF) |
| Blue PPO Options Plan 20 (SG/GFD) |
Blue PPO Options Plan 20 (SG/UGF) |
| Blue PPO Options Plan 30 (SG/GFD) |
Blue PPO Options Plan 30 (SG/UGF) |
