Summary of Benefits and Coverage (SBC)

2026 Summary of Benefits and Coverage (SBC)

PPO Network SBC

EPO Network SBC

Select PPO Network SBC

HMO Network SBC

Select HMO Network SBC

Pediatric Benefit Summary

Pediatric Benefits

Dental PPO Summaries

Dental HMO Summaries

Vision Summaries

2025 Summary of Benefits and Coverage (SBC)

PPO Network SBC

EPO Network SBC

Select PPO Network SBC

HMO Network SBC

Select HMO Network SBC

Pediatric Benefit Summary

Pediatric Benefits

Dental PPO Summaries

Dental HMO Summaries

Vision Summaries

2024 Summary of Benefits and Coverage (SBC)

EPO Network SBC
HSA PRx 3000 EPO SBC24
25/750 EPO SBC24
50/2500 EPO SBC24

HMO Network
10/0 HMO SBC24
35/0 HMO SBC24
25/1500 HMO SBC24
30/3000 HMO SBC24

Select HMO Network
10/0 SHMO SBC24
35/0 SHMO SBC24
25/1500 SHMO SBC24
30/3000 SHMO SBC24

EPO Network SBC

HMO Network SBC

Select HMO Network SBC

Pediatric Benefit Summary

Pediatric Benefits

Dental PPO Summaries

Vision Summaries

Dental HMO Summaries

2023 Summary of Benefits and Coverage (SBC)

Please contact Banyan Administrators for additional by calling 877-480-7923 or by emailing CalCPAHealth@CalCPAHealth.com.

2023 Health Plans

EPO Network SBC
HSA 3000 EPO SBC23

25/750 EPO SBC23

50/2500 EPO SBC23

HMO Network
10/0 HMO SBC23

35/0 HMO SBC23

25/1500 HMO SBC23

30/3000 HMO SBC23

Select HMO Network
10/0 SHMO SBC23

35/0 SHMO SBC23

25/1500 SHMO SBC23

30/3000 SHMO SBC23

2022 Summary of Benefits and Coverage (SBC)

Please contact Banyan Administrators for additional by calling 877-480-7923 or by emailing CalCPAHealth@CalCPAHealth.com.

2022 Health Plans

HMO Network
HMO 10 0

HMO 35 0

HMO 25 1500

HMO 30 3000

Select HMO Network
Select HMO 10 0

Select HMO 35 0

Select HMO 25 1500

Select HMO 30 3000

2021 Summary of Benefits and Coverage (SBC)

Please contact Banyan Administrators for additional by calling 877-480-7923 or by emailing CalCPAHealth@CalCPAHealth.com.

2021 Health Plans

PPO/HSA Network
PPO HSA 1450

PPO HSA 1900

PPO HSA 2900

PPO HSA 3700

PPO HSA 4900

PPO HSA6000

PPO 10 0

PPO 20 600

PPO 20 1000

PPO 30 600

PPO 35 1200

PPO 40 2000

PPO 45 1500

PPO 45 2500

PPO 50 6000 Saver

PPO 65 3900

Pediatric Dental Vision

Select PPO/HSA Network
Select PPO HSA 1450

Select PPO HSA 1900

Select PPO HSA 2900

Select PPO HSA 3700

Select PPO HSA 4900

Select PPO HSA 6000

Select PPO 10 0

Select PPO 20 600

Select PPO 20 1000

Select PPO 30 600

Select PPO 35 1200

Select PPO 40 2000

Select PPO 45 1500

Select PPO 45 2500

Select PPO 50 6000 Saver

Select PPO 65 3900

HMO Network
HMO 10 0

HMO 35 0

HMO 25 1500

HMO 30 3000

Select HMO Network
Select HMO 10 0

Select HMO 35 0

Select HMO 25 1500

Select HMO 30 3000

2020 Summary of Benefits and Coverage (SBC) for firms

Please contact Banyan Administrators for additional by calling 877-480-7923 or by emailing CalCPAHealth@CalCPAHealth.com.

2020 Health Plans

PPO Network
PPO 10/0

PPO 20/500

PPO 20/1000

PPO 30/550

PPO 30/550 RxV

PPO 35/1200

PPO 40/2000

PPO 40/2000 RxV

PPO 45/1500

PPO 45/2500

PPO 45/6000 Saver

PPO 65/3750

PPO HSA 1400

PPO HSA 1850

PPO HSA 2800

PPO HSA 3600

PPO HSA 4800

PPO HSA 5800

HMO Network
HMO 10

HMO 25/1500

HMO 30/3000

HMO 35

Select HMO Network
Select HMO 10

Select HMO 25/1500

Select HMO 30/3000

Select HMO 35

2019 Summary of Benefits and Coverage (SBC) for firms

Please contact Banyan Administrators for additional by calling 877-480-7923 or by emailing CalCPAHealth@CalCPAHealth.com.

2019 Health Plans

HMO Network
HMO 10

HMO 35

HMO 1500

HMO 3000

Select HMO Network
Select HMO 10

Select HMO 35

Select HMO 1500

Select HMO 3000

Summary of Benefits and Coverage (SBC)

2026 Summary of Benefits and Coverage (SBC)

2025 Summary of Benefits and Coverage (SBC)

2024 Summary of Benefits and Coverage (SBC)

2023 Summary of Benefits and Coverage (SBC)

2023 Health Plans

2022 Summary of Benefits and Coverage (SBC)

2022 Health Plans

2021 Summary of Benefits and Coverage (SBC)

2021 Health Plans

2020 Summary of Benefits and Coverage (SBC) for firms

2020 Health Plans

2019 Summary of Benefits and Coverage (SBC) for firms

2019 Health Plans

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