FOS

1)Sub acc 3161263 Benefit plan id 40594

100

what is the employee count 

20

200

what is the cancelation of the current contract for the Benefit plan id 

10-31-2026

300

whit plan type the member have active ??

dental vision RX medical 

400

Deductible includes Rx ?

NO

500

We covered Hearing test ??

NO

2)Sub acc 3303009Benefit plan id 28472

100

It is a large or small group ??

Large group

200

when will be star a new benefit contract for the plan id 

1/1/2027 

300

what is the Alpha Prefix for the current plan period 

d6j

400

what benefit schedule is selected?

Ibc standard

500

what OOP max type apply and amount?

embedded  $500

3)sub acc 990004 Benefit plan id 27246

100

it is a consumer group ??

Yes

200

when the package was terminated ?? 27246

3/31/2026

300

what type of plan was the plan ??

HMO 

400

what is de deductible for tier 3 ?

$2000

500

what is the benefit for sleep studies facility based OP/IP tier 2

$450 copay 

4)Sub acc 3005100 Benefit plan id 352685

100

what is the employe count ?

1402

200

when is current effect day for  the package  352685 ??

9/1/2026

300

the plan have RX benefit ??

NO 

400

what is the preventive schedule ?

UFCW PFIE custom preventive // Group schedule 

500

what is the benefit for diagnostic services medical op Out of network??

deductible $1000 coinsurances 60%

5) sub acc 3172188Benefit plan id 3580668

100

is it a small group plan ??

yes

200

what is the termination day for package 56501?

12/31/2026

300

plan need referrals ??

no PPO

400

what is the deductible for tier 1 , and 2 

$0 $7000

500

what is the visit limit for pulmonary therapy ??

36 yearly limit