50+ Employees - Piedmont Plan Materials
•
Certificate of Coverage
• Schedules of Benefits
PPO Piedmont Plans
- Piedmont Complete 1000/25
- Piedmont Complete 1500/25/50
- Piedmont Complete 2500/25
- Piedmont Complete 3500/25/40
- Piedmont Complete 5000/25/40
-
Piedmont Complete 6350/30/50
- Piedmont Preferred 200/20
- Piedmont Preferred 500/25
- Piedmont Preferred 500/25/50
- Piedmont Preferred 1000/25
- Piedmont Preferred 1500/25
- Piedmont Preferred 2000/25/35
- Piedmont Preferred 2500/25
- Piedmont Preferred 2500/30
-
Piedmont Preferred 3000/25/40
- Piedmont Basic 500/25/40
- Piedmont Basic 1500/25/40
- Piedmont Basic 2000/25/40
- Piedmont Basic 3000/25/40
- Piedmont Basic 5000/25/40
PPO Partners Plans
- Partners Complete 1000/25
- Partners Complete 2500/25
- Partners Complete 3500/25/40
- Partners Complete 5000/25/40
- Partners Preferred 500/25
- Partners Preferred 1000/30
- Partners Preferred 1500/25/50
- Partners Preferred 2000/25/35
- Partners Preferred 2500/25
- Partners Preferred 2500/30
- Partners Preferred 3000/25/40
- Partners Basic 1500/25/40
- Partners Basic 2000/25/40
- Partners Basic 3000/25/40
- Partners Basic 5000/25/40
PPO-HSA and Other Plans
- Piedmont Preferred 1500 HSA
- Piedmont Preferred 2500 HSA
- Piedmont Complete 3000 HSA
- Piedmont Preferred 3500 HSA
- Piedmont Complete 5000 HSA
- Consumers Preferred 5000
• Plan Design Guide
• Forms
- Large Group Application
- Large Group Quote Request Form
- Large Group Product Option Quote Request Form
• Riders
• Rx Amendments
• Out of Pocket Amendments
Prescription Drug Options
(All non-HSA drug options have $0 deductible)
(Piedmont Preferred HSAs have $10/$30/$50 Rx copay after deductible)
Additional Riders
Does this Coverage Provide Minimum Essential Coverage?
The Affordable Care Act requires most people to have health care coverage that qualifies as “minimum essential coverage”. All plans shown do provide minimum essential coverage.
Does this Coverage Meet the Minimum Value Standard?
The Affordable Care Act establishes a minimum value standard of benefits of a health plan. The minimum value standard is 60% (actuarial value). All plans shown do meet the minimum value standard for the benefits it provides.
Go to 2014 Small Group Broker Materials.
Go to 2013 Plans information page.