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Group Medical Insurance

Below are the available plan brochures and application & form links organized by carrier.

Click on the link to jump to the carriers materials:


:: HealthAmerica / HealthAssurance
:: Highmark Health Insurance Company (HHIC)
:: Highmark Blue Cross Blue Shield (Archive)
:: Highmark Blue Shield
:: Time Insurance
:: UnitedHealthcare
:: UPMC (University of Pittsburgh Medical Center)


To request a group medical quote, please complete the group census form below:
:: Group Census Form (doc)


HealthAmerica / HealthAssurance

:: Western-PA Group Plan Summaries (10-2011)
:: Western-PA OOA Group Plan Summaries (10-2011)
:: Lehigh Valley Group Plan Summaries (10-2011)
:: SEPA Group Plan Summaries (2011)
:: SEPA OOA Group Plan Summaries (2011)
:: Group Rx Riders
:: HealthAssurance Small Group Underwriting Guide
:: HealthAmerica Small Group Underwriting Guidelines 2012

HealthAssurance Small Group Benefit Summaries (10-2011)   download all (zip)

Choice PPO:   download all Choice PPO (zip)
:: Choice PPO $1500 (10-2011)
:: Choice PPO $2500 (10-2011)
:: Choice PPO $4000 (10-2011)

Classic PPO:   download all Classic PPO (zip)
:: Classic PPO $250 (10-2011)
:: Classic PPO $500 (10-2011)
:: Classic PPO $1000 (10-2011)

FlexChoice QHDHP PPO:   download all FlexChoice QHDHP PPO (zip)
:: FlexChoice QHDHP PPO $1250 (10-2011)
:: FlexChoice QHDHP PPO $1250 II (10-2011)
:: FlexChoice QHDHP PPO $1500 (10-2011)
:: FlexChoice QHDHP PPO $2000 (10-2011)
:: FlexChoice QHDHP PPO $2500 1x (10-2011)
:: FlexChoice QHDHP PPO $2500 (10-2011)

:: FlexChoice QHDHP PPO $5000 1x (10-2011)
FlexChoice QHDHP Value PPO:   download all FlexChoice QHDHP Value (zip)
:: FlexChoice QHDHP Value PPO $1250 (10-2011)
:: FlexChoice QHDHP Value PPO $2500 (10-2011)
:: FlexChoice QHDHP Value PPO $3750 (10-2011)

Premier PPO:   download all Premier PPO (zip)
:: Premier PPO $5/$10 (10-2011)
:: Premier PPO $10/$10 (10-2011)
:: Premier PPO $15/$30 (10-2011)
:: Premier PPO $20/$40 (10-2011)
:: Premier PPO $250 (10-2011)
:: Premier PPO $500 (10-2011)
:: Premier PPO $750 (10-2011)
:: Premier PPO $1000 (10-2011)
:: Premier PPO $1250 (10-2011)
:: Premier PPO $1500 (10-2011)
:: Premier PPO $2000 (10-2011)
:: Premier PPO $2500 1x (10-2011)
:: Premier PPO $3000 (10-2011)
:: Premier PPO $3250 1x(10-2011)
:: Premier PPO $4000 1x (10-2011)
:: Premier PPO $5000 1x (10-2011)
:: Premier PPO $5000 (10-2011)
:: Premier PPO $6000 1x (10-2011)
:: Premier PPO $7500 1x (10-2011)
:: Premier PPO $10000 1x (10-2011)

Value PPO:   download all Value PPO (zip)
:: Premier PPO $250 (10-2011)
:: Premier PPO $500 (10-2011)
:: Premier PPO $1000 (10-2011)
:: Premier PPO $1500 (10-2011)
:: Premier PPO $2000 (10-2011)

:: Group RX Riders

:: Click here to access Applications and Other Forms


:: www.healthamerica.cvty.com

Highmark Health Insurance Company (HHIC)

:: HHIC 2012 Product Portfolio (rev 9/2011)
:: HHIC Job Aid: Producer Plan Advisor
:: HHIC Group Plan Summaries (same as below) combined in one zip file
:: HHIC Group Plan Summaries (ASD version of below links) combined in one zip file

Family Savings PPO Group Benefits Summaries:

:: Family Savings PPOBlue $3,000 90/70 Rx A (rev 10/2011)
:: Family Savings PPOBlue $4,000C Rx A (rev 10/2011)

:: Click here to access Applications and Other Forms

Healthy Savings PPO Group Benefits Summaries:

:: Healthy Savings PPOBlue $1,250Q Rx D (rev 10/2011)
:: Healthy Savings PPOBlue $1,500Q Rx D (rev 10/2011)
:: Healthy Savings PPOBlue $2,000Q Rx D (rev 10/2011)
:: Healthy Savings PPOBlue $2,600Q 90/70 Rx D (rev 10/2011)
:: Healthy Savings PPOBlue $2,600Q Rx D (rev 10/2011)
:: Healthy Savings PPOBlue $3,500Q 90/70 Rx D (rev 10/2011)

:: Click here to access Applications and Other Forms

Premium PPO Group Benefits Summaries:

:: Premium PPOBlue $10-Co-pay Rx A (rev 10/2011)
:: Premium PPOBlue $10-Co-pay Rx B (rev 10/2011)

:: Premium PPOBlue $20-Co-pay Rx A (rev 10/2011)
:: Premium PPOBlue $20-Co-pay Rx B (rev 10/2011)

:: Premium PPOBlue $20/40-Co-pay Rx A (rev 10/2011)
:: Premium PPOBlue $20/40-Co-pay Rx B (rev 10/2011)

:: Click here to access Applications and Other Forms

Sharing PPO Group Benefits Summaries:

:: Sharing PPOBlue $250 Rx A (rev 10/2011)
:: Sharing PPOBlue $250 Rx B (rev 10/2011)
:: Sharing PPOBlue $250 Rx C (rev 10/2011)

:: Sharing PPOBlue $500 Rx A (rev 10/2011)
:: Sharing PPOBlue $500 Rx B (rev 10/2011)
:: Sharing PPOBlue $500 Rx C (rev 10/2011)

:: Sharing PPOBlue $750 Rx A (rev 10/2011)
:: Sharing PPOBlue $750 Rx B (rev 10/2011)
:: Sharing PPOBlue $750 Rx C (rev 10/2011)

:: Sharing PPOBlue $1,000 Rx A (rev 10/2011)
:: Sharing PPOBlue $1,000 Rx B (rev 10/2011)
:: Sharing PPOBlue $1,000 Rx C (rev 10/2011)

:: Sharing PPOBlue $1,250 Rx A (rev 10/2011)
:: Sharing PPOBlue $1,250 Rx B (rev 10/2011)
:: Sharing PPOBlue $1,250 Rx C (rev 10/2011)

:: Sharing PPOBlue $1,500 Rx A (rev 10/2011)
:: Sharing PPOBlue $1,500 Rx B (rev 10/2011)
:: Sharing PPOBlue $1,500 Rx C (rev 10/2011)

:: Sharing PPOBlue $2,000 Rx A (rev 10/2011)
:: Sharing PPOBlue $2,000 Rx B (rev 10/2011)
:: Sharing PPOBlue $2,000 Rx C (rev 10/2011)

:: Sharing PPOBlue $2,500 Rx A (rev 10/2011)
:: Sharing PPOBlue $2,500 Rx B (rev 10/2011)
:: Sharing PPOBlue $2,500 Rx C (rev 10/2011)

:: Sharing PPOBlue $3,000 Rx A (rev 10/2011)
:: Sharing PPOBlue $3,000 Rx B (rev 10/2011)
:: Sharing PPOBlue $3,000 Rx C (rev 10/2011)


:: Click here to access Applications and Other Forms

Smart PPO Group Benefits Summaries:

:: Smart PPOBlue $500 80/60 Rx A (rev 10/2011)
:: Smart PPOBlue $500 80/60 Rx B (rev 10/2011)
:: Smart PPOBlue $500 80/60 Rx C (rev 10/2011)

:: Smart PPOBlue $500 90/70 Rx A (rev 10/2011)
:: Smart PPOBlue $500 90/70 Rx B (rev 10/2011)

:: Smart PPOBlue $750 90/70 Rx A (rev 10/2011)
:: Smart PPOBlue $750 90/70 Rx B (rev 10/2011)
:: Smart PPOBlue $750 90/70 Rx C (rev 10/2011)

:: Smart PPOBlue $1000 80/60 Rx A (rev 10/2011)
:: Smart PPOBlue $1000 80/60 Rx B (rev 10/2011)
:: Smart PPOBlue $1000 80/60 Rx C (rev 10/2011)

:: Smart PPOBlue $1,250 90/70 Rx A (rev 10/2011)
:: Smart PPOBlue $1,250 90/70 Rx B (rev 10/2011)
:: Smart PPOBlue $1,250 90/70 Rx C (rev 10/2011)

:: Click here to access Applications and Other Forms

Take Charge PPO Group Benefits Summaries:

:: Take Charge PPOBlue 90/70 Rx A (rev 10/2011)
:: Take Charge PPOBlue 90/70 Rx B (rev 10/2011)
:: Take Charge PPOBlue 90/70 Rx C (rev 10/2011)

:: Take Charge PPOBlue $250 80/60 Rx A (rev 10/2011)
:: Take Charge PPOBlue $250 80/60 Rx B (rev 10/2011)
:: Take Charge PPOBlue $250 80/60 Rx C (rev 10/2011)

:: Take Charge PPOBlue $250 90/70 Rx A (rev 10/2011)
:: Take Charge PPOBlue $250 90/70 Rx B (rev 10/2011)
:: Take Charge PPOBlue $250 90/70 Rx C (rev 10/2011)

:: Take Charge PPOBlue $500 90/70 Rx C (rev 10/2011)

:: Click here to access Applications and Other Forms


Highmark Small Business Vision Plans:

:: Highmark Small Business Vision Plan Rates
:: Highmark Fashion Advantage Vision Gold Option I Brochure
:: Highmark Fashion Advantage Vision Gold Option V Brochure
:: Highmark Fashion Advantage Vision Option I Brochure
:: Highmark Fashion Advantage Vision Option V Brochure





Highmark Blue Cross Blue Shield (Archive)

Group Benefits Summaries:
:: $1,250 High Deductible Value Option (pdf)
:: HDHP 80 60 Value (pdf)
:: HDHP 90 70 $3,500 (pdf)
:: HDHP 100 80 $1,250 Deductible Value (pdf)
:: HDHP 100 80 $1,500 Deductible Value (pdf)
:: HDHP 100 80 $2,000 Deductible Value (pdf)
:: HDHP 100 80 $2,600 (pdf)


:: OOA $1,250 High Deductible Value (pdf)
:: OOA HDHP 100 80 $2,600 Deductible (qualified) (pdf)
:: OOA High Option II (pdf)
:: OOA PPO $1,500 High Deductible Value (pdf)
:: OOA PPO $500 Deductible (pdf)
:: OOA PPO Standard (pdf)
:: OOA PPO Value Plus 500 (pdf)


:: PPOBlue 80 60 (pdf)
:: PPOBlue 70 50 (pdf)
:: PPOBlue 90 70 (pdf)
:: PPOBlue $1,000 High Deductible Value (pdf)
:: PPOBlue $1,500 High Deductible Value (pdf)
:: PPOBlue $2,500 High Deductible Value (pdf)
:: PPOBlue $500 Deductible (pdf)
:: PPOBlue $750 Deductible Value (pdf)
:: PPOBlue HDHP 90 70 $2,600 (pdf)
:: PPOBlue High Option I (pdf)
:: PPOBlue High Option II (pdf)
:: PPOBlue Split Copayment 100 80 (pdf)
:: PPOBlue Split Copayment Low Cost 90 70 (pdf)
:: PPOBlue Standard (pdf)
:: PPOBlue Value Plus 250 (pdf)
:: PPOBlue Value Plus 500 (pdf)
:: PPOBlue Enhanced (pdf)


:: Click here to access Applications and Other Forms
:: www.highmarkbcbs.com
:: Top

Highmark Blue Shield

:: 2012 Small Group Plan Summaries (9-2011)
:: Progressive Drug Formulary Brochure (7-2011)

Links:
:: Goto Agent Licensing
:: Goto Applications and Other Forms


:: www.highmarkblueshield.com
:: Top

Time Insurance

:: www.assuranthealthsales.com
:: Top

UnitedHealthcare

Group Benefits Summaries:
:: Balanced 100 25/1500/100% Plan 7AF Benefit Summary (pdf)
:: Traditional 10/100% Plan P1A Benefit Summary (pdf)
:: Balanced 100 20/1000/100% Plan P1D Benefit Summary (pdf)
:: Traditional with Deductible 30/250/100% Plan P1H Benefit Summary (pdf)
:: Traditional with Deductible 30/500/100% Plan P1I Benefit Summary (pdf)
:: Traditional 30/100% Plan P1J Benefit Summary (pdf)
:: Traditional Plus 10/100% Plan P1R Benefit Summary (pdf)
:: Traditional with Deductible 30/250/100% Plan P2E Benefit Summary (pdf)
:: Traditional with Deductible 30/500/100% Plan P2F Benefit Summary (pdf)
:: Click here to access Applications and Other Forms


:: www.unitedhealthcare.com
:: Top

UPMC (University of Pittsburgh Medical Center)


:: UPMC Group Medical Plan Summaries (same as below) combined in one zip file

EPO Benefits Summary:
:: EPO $0  10-30 $15-30-50 Benefits Summary (pdf)
:: EPO $0  15-35 $15-30-50 Benefits Summary (pdf)
:: EPO $0  20-40 $15-30-50 Benefits Summary (pdf)
:: EPO $250 $15-30-50 Benefits Summary (pdf)
:: EPO $500  20-20 $15-30-50 Benefits Summary (pdf)
:: EPO $500  40-40 $15-30-50 Benefits Summary (pdf)
:: EPO $750 $15-30-50 Benefits Summary (pdf)
:: EPO $1000 $15-30-50 Benefits Summary (pdf)
:: EPO $1500 $15-30-50 Benefits Summary (pdf)
:: EPO  $250 / 80% $15-30-50
:: Click here to access Applications and Other Forms

HRA Benefits Summary:
:: HRA PPO $1250 / 90% $8-38-76 Benefits Summary (pdf)
:: HRA PPO $1250 / 100% $15-30-50 Benefits Summary (pdf)
:: HRA PPO $2500 / 90% $8-38-76 Benefits Summary (pdf)
:: HRA PPO $2500 / 100% $15-30-50 Benefits Summary (pdf)
:: HRA PPO $3750 / 90% $8-38-76 Benefits Summary (pdf)
:: HRA PPO $750 / 80% $8-38-76 Benefits Summary (pdf)
:: HRA EPO $1250 / 90% $8-38-76 Benefits Summary (pdf)
:: HRA EPO $2500 / 90% $8-38-76 Benefits Summary (pdf)
:: HRA EPO $3750 / 90% $8-38-76 Benefits Summary (pdf)
:: HRA EPO $750 / 80% $8-38-76 Benefits Summary (pdf)
:: Click here to access Applications and Other Forms

HSA Benefits Summary:
:: HSA PPO $1250 / 90% $8-38-76 Benefits Summary (pdf)
:: HSA PPO $1250 / 100% $15-30-50 Benefits Summary (pdf)
:: HSA PPO $2500 / 90% $8-38-76 Benefits Summary (pdf)
:: HSA PPO $2500 / 100% $15-30-50 Benefits Summary (pdf)
:: HSA PPO $3750 / 90% $8-38-76 Benefits Summary (pdf)
:: HSA EPO $1250 / 90% $8-38-76 Benefits Summary (pdf)
:: HSA EPO $2500 / 90% $8-38-76 Benefits Summary (pdf)
:: HSA EPO $3750 / 90% $8-38-76 Benefits Summary (pdf)
:: Click here to access Applications and Other Forms

PPO Benefits Summary:
:: PPO $0  10-10 $15-30-50 Benefits Summary (pdf)
:: PPO $0  20-20 $15-30-50 Benefits Summary (pdf)
:: PPO $250 $15-30-50 Benefits Summary (pdf)
:: PPO $300 $15-30-50 Benefits Summary (pdf)
:: PPO $500 $15-30-50 Benefits Summary (pdf)
:: PPO $1250 $15-30-50 Benefits Summary (pdf)
:: PPO $2500 / 90% $15-30-50 Benefits Summary (pdf)
:: PPO $300 / 80% $15-30-50 Benefits Summary (pdf)
:: Click here to access Applications and Other Forms

Vision Plans Benefits Summary:
:: Vision Premium Plan Benefits Summary (pdf)
:: Vision Basic Plan Benefits Summary (pdf)
:: Click here to access Applications and Other Forms



Please note: Check for state availability for each carrier as not all plans are available in all states.

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