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)