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.
- Connexus Platinum 250
- Connexus Platinum 500
- Connexus Gold 500
- Connexus Gold 1000
- Connexus Gold 1500
- Connexus Gold 2000
- Connexus Gold 2500
- Connexus Silver 3500
- Connexus Silver 3750
- Connexus Silver 4500
- Connexus Silver 5500
- Connexus Silver 7000
- Connexus Bronze 8600
- Connexus Gold HDHP 1700
- Connexus Silver HDHP 3200
- Connexus Silver HDHP 3500
- Connexus Bronze HDHP 5700
- Connexus Bronze HDHP 7500
- Moda Health Oregon Standard Gold
- Moda Health Oregon Standard Silver
- Moda Health Oregon Standard Bronze
- Connexus Platinum 250
- Connexus Platinum 500
- Connexus Gold 500
- Connexus Gold 1000
- Connexus Gold 1500
- Connexus Gold 2000
- Connexus Gold 2500
- Connexus Silver 3500
- Connexus Silver 3750
- Connexus Silver 4500
- Connexus Silver 5500
- Connexus Silver 7000
- Connexus Bronze 8600
- Connexus Gold HDHP 1700
- Connexus Silver HDHP 3200
- Connexus Silver HDHP 3500
- Connexus Bronze HDHP 5700
- Connexus Bronze HDHP 7500
- Moda Health Oregon Standard Gold
- Moda Health Oregon Standard Silver
- Moda Health Oregon Standard Bronze
- Connexus Platinum 250
- Connexus Platinum 500
- Connexus Gold 500
- Connexus Gold 1000
- Connexus Gold 1500
- Connexus Gold 2000
- Connexus Gold 2500
- Connexus Silver 3500
- Connexus Silver 3750
- Connexus Silver 4500
- Connexus Silver 5500
- Connexus Silver 7000
- Connexus Bronze 8550
- Connexus Gold HDHP 1650
- Connexus Silver HDHP 3000
- Connexus Silver HDHP 3500
- Connexus Bronze HDHP 5500
- Connexus Bronze HDHP 7500
- Moda Health Oregon Standard Gold
- Moda Health Oregon Standard Silver
- Moda Health Oregon Standard Bronze
- Moda Select Platinum 500
- Moda Select Gold 500
- Moda Select Gold 1000
- Moda Select Gold 1500
- Moda Select Gold 2500
- Moda Select Silver 3500
- Moda Select Silver 3750
- Moda Select Silver 5000
- Moda Select Silver 5500
- Moda Select Bronze 7500
- Moda Select Silver HDHP 3500
- Moda Select Silver HDHP 5100
- Moda Select Bronze HDHP 5500
- Connexus Platinum 250
- Connexus Platinum 500
- Connexus Gold 500
- Connexus Gold 1000
- Connexus Gold 1500
- Connexus Gold 2000
- Connexus Gold 2500
- Connexus Silver 3500
- Connexus Silver 3750
- Connexus Silver 4500
- Connexus Silver 5500
- Connexus Silver 7000
- Connexus Bronze 8550
- Connexus Gold HDHP 1650
- Connexus Silver HDHP 3000
- Connexus Silver HDHP 3500
- Connexus Bronze HDHP 5500
- Connexus Bronze HDHP 7500
- Moda Health Oregon Standard Gold
- Moda Health Oregon Standard Silver
- Moda Health Oregon Standard Bronze
- Moda Select Platinum 500
- Moda Select Gold 500
- Moda Select Gold 1000
- Moda Select Gold 1500
- Moda Select Gold 2500
- Moda Select Silver 3500
- Moda Select Silver 3750
- Moda Select Silver 5000
- Moda Select Silver 5500
- Moda Select Bronze 7500
- Moda Select Silver HDHP 3500
- Moda Select Silver HDHP 5100
- Moda Select Bronze HDHP 5500