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NOTICE! Final rates and benefits are based on actual plan selection
(including plan riders you may request) and the assignment of any rate adjustment
factors due to the
plan's underwriting guidelines.
IMPORTANT NOTICE: Coinsurance amounts represented with a "%" are
payable after the plan deductibles are reached; Co-pay amounts represented with
a "$" are not subject to plan deductibles (except where noted). Refer to contract
for a detailed explanation of plan benefits, features, exclusions and limitations.
Benefits subject to change without notice. Out of pocket maximum shown includes
the plan deductible unless otherwise noted. Co-pays, Deductibles, and Coinsurance
amounts listed above are your share of the costs for covered benefits.
Do Not Cancel your current coverage until a new policy is approved
and you have received written confirmation of the policy's rates and benefits from
the insurance company. Rate and Benefit Disclaimer Notification!
Additionally, information contained in this website is limited in scope, subject
to change without notice, and does not contain all the terms, conditions, limitations,
or exclusions of the referenced benefit plans. Only the insurance company Plan Documents
and Policy's contain the exact terms and conditions of coverage. Your grant of access
to the rate and benefit summaries contained herein may not be relied upon as a guarantee
of your eligibility or coverage under these benefit plans.