Broker Connection

Benefit plans

• HMO Plans
• POS Plans
• PPO Plans
• Insure Oklahoma Qualified Plans

These are the current benefit plans. Some employer groups may have a different plan version based on the group's renewal date.

HMO Benefit Plans
Large Group
Plan 1 Plan 2 Plan 3 Plan 4 Plan 8 Plan 9 Plan 10 Plan 11 Plan 11A Plan 12 Plan 12A	IDEA 1 IDEA 1A IDEA 2 IDEA 2A IDEA 3 IDEA 4 IDEA 100 IDEA 250	IDEA Plus 1 IDEA Plus 1A IDEA Plus 2 IDEA Plus 2A IDEA Plus 3 IDEA Plus 4 IDEA Plus 5 IDEA Plus 6 IDEA Plus 7 IDEA Plus 8 IDEA Plus 250	HRA 1000(a) HRA 1000(b) HRA 1500(a) HRA 1500(b) HRA 2000(a) HRA 2000(b)
Small Group
Plan 1 Plan 2 Plan 3 Plan 4 Plan 8 Plan 9 Plan 10 Plan 11 Plan 11A Plan 12 Plan 12A	IDEA 1 IDEA 1A IDEA 2 IDEA 2A IDEA 3 IDEA 4 IDEA 100 IDEA 250	IDEA Plus 1 IDEA Plus 1A IDEA Plus 2 IDEA Plus 2A IDEA Plus 3 IDEA Plus 4 IDEA Plus 5 IDEA Plus 6 IDEA Plus 7 IDEA Plus 250	HRA 1000(a) HRA 1000(b) HRA 1500(a) HRA 1500(b) HRA 2000(a) HRA 2000(b)

POS Benefit Plans
POS plans with no out-of-network out-of-pocket limit: Small Group 15/70A 15/70B 20/70 25/60 POS 5 POS 5A POS 6 Large Group 15/70A 15/70B 20/70 25/60 POS 5 POS 5A POS 6	POS plans with an out-of-network out-of-pocket limit: Small Group 15/70A 15/70B 20/70 25/60 POS 5 POS 5A POS 6 Large Group 15/70A 15/70B 20/70 25/60 POS 5 POS 5A POS 6

PPO Benefit Plans

PPO Plan 1 PPO Plan 2 PPO Plan 3 PPO Plan 4 PPO Plan 5 PPO Plan 5A PPO Plan 6 PPO Plan 7 PPO Plan 8 PPO Plan 9 PPO Plan 10 Split PPO Plan 1 Split PPO Plan 2 Split PPO Plan 3 Split PPO Plan 4 Split PPO Plan 5 Split PPO Plan 6 Retro PPO Plan 1 Retro PPO Plan 2 Retro PPO Plan 3 Retro PPO Plan 4 Retro PPO Plan 5

Small Group Pinnacle 1 Pinnacle 2 Pinnacle 3   Value Advantage 1 Value Advantage 2 Value Advantage 3   Fundamental 1 Fundamental 2 Fundamental 3   Pinnacle 2 Small OE Pinnacle 3 Small OE Pinnacle 3A Small OE   Value Advantage 2 Small OE Value Advantage 3 Small OE Value Advantage 3A Small OE   Fundamental 2 Small OE Fundamental 3 Small OE Fundamental 3A Small OE Large Group Pinnacle 1 Pinnacle 2 Pinnacle 3   Value Advantage 1 Value Advantage 1 Plus Value Advantage 2 Value Advantage 2 Plus Value Advantage 2 Variation Value Advantage 3 Value Advantage 5   Fundamental 1 Fundamental 2 Fundamental 3   Pinnacle 2 Large OE Pinnacle 3 Large OE Pinnacle 3A Large OE   Value Advantage 2 Large OE Value Advantage 3 Large OE Value Advantage 3A Large OE   Fundamental 2 LG OE Fundamental 3 LG OE Fundamental 3A LG OE

Insure Oklahoma Qualified Plans

HMO Plans

Plan 1 Plan 4 Plan 9 Plan 10 Plan 11 Plan 11A Plan 12 Plan 12A IDEA 1 IDEA Plus 1 IDEA Plus 1A IDEA Plus 2 IDEA Plus 2A IDEA Plus 3 IDEA Plus 4 IDEA Plus 5 IDEA Plus 250 HRA 1000(a)

PPO Plans

PPO Plan 4 PPO Plan 5 PPO Plan 5A PPO Plan 6 PPO Plan 8 Small Group Pinnacle 1   Value Advantage 1   Fundamental 1   Pinnacle 2 Small OE Pinnacle 3 Small OE Pinnacle 3A Small OE   Value Advantage 2 Small OE Value Advantage 3 Small OE Value Advantage 3A Small OE   Fundamental 2 Small OE Fundamental 3 Small OE Fundamental 3A Small OE Large Group Pinnacle 1   Value Advantage 1   Fundamental 1   Pinnacle 2 Large OE Pinnacle 3 Large OE Pinnacle 3A Large OE   Value Advantage 2 Large OE Value Advantage 3 Large OE Value Advantage 3A Large OE   Fundamental 2 LG OE Fundamental 3 LG OE Fundamental 3A LG OE