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From 1:30 a.m. to 5:00 a.m. PST on Sunday, September 20, you may encounter intermittent disruption to our services. We apologize for any inconvenience. Thank you for your patience as we improve our web sites to serve you better.
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From 1:30 a.m. to 5:00 a.m. PST on Sunday, September 20, you may encounter intermittent disruption to our services. We apologize for any inconvenience. Thank you for your patience as we improve our web sites to serve you better.

Sample Coverage Documents

These sample coverage documents are provided for your consideration, as required by state and/or federal health insurance regulators. Please note these documents are samples only.

Oregon Sample Plan Contract and Benefit Schedule

Washington Sample Plan Contract and Benefit Schedule