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50+ Employees - Piedmont Plan Materials


Certificate of Coverage
• Schedules of Benefits
PPO Piedmont Plans
PPO Partners Plans
PPO-HSA and Other Plans
Plan Design Guide
• Forms
• Riders
• Rx Amendments
• Out of Pocket Amendments

 

Prescription Drug Options
(All non-HSA drug options have $0 deductible)

 Table1A

(Piedmont Preferred HSAs have $10/$30/$50 Rx copay after deductible)

 

Additional Riders

Table2A

 

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.

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