Small Group Plan Designs and Creditable Coverage Results

 
2023 Plans Creditable 2024 Plans Creditable
Gateway 20 Platinum 90 HMO Yes Gateway 20 Platinum 90 HMO Yes
Gateway 30 Platinum 90 HMO Yes Gateway 30 Platinum 90 HMO Yes
    Gateway 40 Gold 80 HMO NEW Yes
Gateway 70 Platinum 90 HMO Yes Gateway 70 Platinum 90 HMO Yes
    Gateway 1600 Gold 80 HDHP HMO NEW Yes
Gateway 4010 Gold 80 HMO Yes Gateway 4010 Gold 80 HMO Yes
Gateway 4020 Gold 80 HMO Yes Gateway 4020 Gold 80 HMO Yes
Gateway 5020 Silver 70 HMO Yes Gateway 5020 Silver 70 HMO Yes
Gateway 2400 Gold 80 HDHP HMO Yes Gateway 2600 Gold 80 HDHP HMO Yes
Gateway 7000 Bronze 60 HDHP HMO Yes Gateway 7050 Bronze 60 HDHP HMO No
Sierra 25 Platinum 90 HMO Yes Sierra 25 Platinum 90 HMO Yes
Sierra 40 Gold 80 HMO Yes Sierra 40 Gold 80 HMO Yes
Sierra 50 Silver 70 HMO Yes Sierra 50 Silver 70 HMO Yes
Sierra 4010 Gold 80 HMO Yes Sierra 4010 Gold 80 HMO Yes
Sierra 2400 Gold 80 HDHP HMO Yes Sierra 2400 Gold 80 HDHP HMO Yes
Sierra 7000 Bronze 60 HDHP HMO Yes Sierra 7000 Bronze 60 HDHP HMO Yes
Capital 20 Platinum 90 HMO Yes Capital 20 Platinum 90 HMO Yes
Capital 250 Gold 80 HMO Yes Capital 250 Gold 80 HMO Yes
Capital 2500 Silver 70 HMO Yes Capital 2500 Silver 70 HMO Yes
Capital 6300 Bronze 60 HMO Yes Capital 6300 Bronze 60 HMO Yes
Capital 2700 Silver 70 HDHP HMO Yes Capital 2850 Silver 70 HDHP HMO Yes



Large Group Plan Designs and Creditable Coverage Results

2023 Plans Creditable 2024 Plans Creditable
Premier and Advantage Medical Plans--one of the following pharmacy (RX) plans is included:
Rx 10/30/50 Yes Rx 10/30/50 Yes
Rx 10/40/60 Yes Rx 10/40/60 Yes
Rx 10/30/50 Deductible Yes Rx 10/30/50 Deductible Yes
Rx 15/50/75 Yes Rx 15/50/75 Yes
Rx 10/25/35-2x Yes Rx 10/25/35-2x Yes
Western 1000/20/20% HMO Prime Yes Western 1000/20/20% HMO Prime Yes
Western 1000/40/500 HMO Prime Yes Western 1000/40/500 HMO Prime Yes
Western 1500/0/0 HDHP HMO Prime Yes Western 1600/0/0 HDHP HMO Prime Yes
Western 1800/0/0 HDHP HMO Prime Yes Western 1800/0/0 HDHP HMO Prime Yes
Western 2500/0/30% HMO Prime Yes Western 2500/0/30% HMO Prime Yes
Western 2500/20/500 HMO Prime Yes Western 2500/20/500 HMO Prime Yes
Western 2500/40/500 HMO Prime Yes Western 2500/40/500 HMO Prime Yes
Western 2800/0/0 HDHP HMO Prime Yes Western 2800/0/0 HDHP HMO Prime Yes
Western 2800/40/500 HDHP HMO Prime Yes Western 2800/40/500 HDHP HMO Prime Yes
Western 3000/30/30% HDHP HMO Prime Yes Western 3000/30/30% HDHP HMO Prime Yes
Western 4000/40%/40% HDHP HMO Prime Yes Western 4000/40%/40% HDHP HMO Prime Yes
Western 4500/50/40% HMO Prime Yes Western 4500/50/40% HMO Prime Yes
Western 5500/0/0 HDHP HMO Prime Yes Western 5500/0/0 HDHP HMO Prime Yes

Last review date: October 23, 2023