1)Sub acc 3161263 Benefit plan id 40594
what is the employee count
20
It is a large or small group ??
Large group
it is a consumer group ??
Yes
what is the employe count ?
1402
yes
what is the cancelation of the current contract for the Benefit plan id
10-31-2026
when will be star a new benefit contract for the plan id
1/1/2027
when the package was terminated ?? 27246
3/31/2026
when is current effect day for the package 352685 ??
9/1/2026
what is the termination day for package 56501?
12/31/2026
whit plan type the member have active ??
what is the Alpha Prefix for the current plan period
d6j
what type of plan was the plan ??
HMO
the plan have RX benefit ??
NO
plan need referrals ??
no PPO
NO
what benefit schedule is selected?
Ibc standard
what is de deductible for tier 3 ?
$2000
what is the preventive schedule ?
UFCW PFIE custom preventive // Group schedule
what is the deductible for tier 1 , and 2
$0 $7000
We covered Hearing test ??
NO
what OOP max type apply and amount?
embedded $500
what is the benefit for sleep studies facility based OP/IP tier 2
$450 copay
what is the benefit for diagnostic services medical op Out of network??
deductible $1000 coinsurances 60%
what is the visit limit for pulmonary therapy ??
36 yearly limit