Group plan documents
When your employees understand how their coverage works, they can make the best choices about how to get care and anticipate out-of-pocket costs. You can access your group plan documents below or on your Employer Dashboard.
Summaries (SBCs and SOBs)
The summary of benefits and coverage (SBC) is a helpful and detailed document. It includes answers to frequently asked questions, lists out-of-pocket costs for many common services and provides examples of how different treatments are covered. A benefit summary (SOB) is a simple, one-page document that summarizes in-network and out-of-network coverage for your plan. It’s a great way to see how services are covered at a glance.
You can find your plan’s SBC and SOB by looking for the name of your plan below.
- Moda Select Gold 500
- Moda Select Gold 1000
- Moda Select Gold 1500
- Moda Select Gold 2000
- Moda Select Silver 2500
- Moda Select Silver 3500
- Moda Select Silver 4000
- Moda Select Bronze 8550
- Moda Select Gold 1700 HDHP
- Moda Select Silver 2800 HDHP
- Moda Select Silver 3500 HDHP
- Moda Select Bronze 5950 HDHP
- Moda Select Bronze 7100 HDHP
- Moda Select Gold 500
- Moda Select Gold 1000
- Moda Select Gold 1500
- Moda Select Gold 2000
- Moda Select Silver 2500
- Moda Select Silver 3500
- Moda Select Silver 4000
- Moda Select Bronze 8550
- Moda Select Gold 1700 HDHP
- Moda Select Silver 2800 HDHP
- Moda Select Silver 3500 HDHP
- Moda Select Bronze 5950 HDHP
- Moda Select Bronze 7100 HDHP