Summary of Benefits and Coverage (SBC)

We list here all of the Summaries of Benefits and Coverage for our health plans. These documents are designed to help you better understand your coverage. If you would like to receive a paper copy of an SBC, please contact us.

Select Year

Asuris Plans 2015

Asuris Direct Bronze HSA

Asuris Direct Bronze HSA Asuris Direct Bronze HSA with Dental, Vision and IAP

Asuris Direct Bronze HSA+

Asuris Direct Bronze HSA+

Asuris Direct Bronze

Asuris Direct Bronze Asuris Direct Bronze with Dental, Vision and IAP

Asuris DirectSilver

Asuris Direct Silver Asuris Direct Silver with Dental, Vision and IAP

Asuris Direct Silver HSA

Asuris Direct Silver HSA

Asuris Direct Silver+

Asuris Direct Silver+ Asuris Direct Silver + with Dental, Vision and IAP

Asuris Direct Gold

Asuris Direct Gold Asuris Direct Gold with Dental, Vision and IAP

Asuris Direct Gold+

Asuris Direct Gold+ High Asuris Direct Gold+ High with Dental, Vision and IAP

Asuris Direct Platinum High

Asuris Direct Platinum High Asuris Direct Platinum High with Dental, Vision and IAP

Asuris Plans 2016

Plan documents

Bronze Plans

Asuris Bronze HSA 5000 Preferred SBC Individual policy booklet
Asuris Bronze HSA 5000 Preferred + Dental and Vision SBC
 
Asuris Bronze Essential 6850 RealValue and SimpleConnect SBC Individual policy booklet
Asuris Bronze Essential 6850 RealValue and SimpleConnect + Dental and Vision SBC

Silver Plans

Asuris Silver 3000 Preferred SBC Individual policy booklet
Asuris Silver 3000 Preferred + Dental and Vision SBC
 
Asuris Silver Align 4000 RealValue and SimpleConnect SBC Individual policy booklet
Asuris Silver Align 4000 RealValue and SimpleConnect + Dental and Vision SBC
 
Asuris Silver HSA 2500 Preferred SBC Individual policy booklet
Asuris Silver HSA 2500 Preferred + Dental and Vision SBC

Gold Plans

Asuris Gold 1000 Preferred SBC Individual policy booklet
Asuris Gold 1000 Preferred + Dental and Vision SBC
 
Asuris Gold Align 1500 RealValue and SimpleConnect SBC Individual policy booklet
Asuris Gold Align 1500 RealValue and SimpleConnect + Dental and Vision SBC

Asuris Plans 2017

Plan documents

Bronze Plans

Bronze HSA 5000 Preferred SBC Individual policy booklet
Bronze HSA 5000 Preferred + Dental and Vision SBC Individual policy booklet
 
Bronze Essential 7150 EPO RealValue SBC Individual policy booklet
Bronze Essential 7150 EPO RealValue + Dental and Vision SBC Individual policy booklet

Silver Plans

Silver 3000 Preferred SBC Individual policy booklet
Silver 3000 Preferred + Dental and Vision SBC Individual policy booklet
 
Silver HSA 2500 Preferred SBC Individual policy booklet
Silver HSA 2500 Preferred + Dental and Vision SBC Individual policy booklet
 
Silver Essential 3500 EPO RealValue SBC Individual policy booklet
Silver Essential 3500 EPO RealValue + Dental and Vision SBC Individual policy booklet

Gold Plans

Gold 1000 Preferred SBC Individual policy booklet
Gold 1000 Preferred + Dental and Vision SBC Individual policy booklet