WebbF Gold PPO 25/40 Non-Gated OHI CNT (PPOc) (UCR=140mc%) In-Network Out-Network 10/35/75/100 ded T2-3 $1,000/$2,000 $3,000/$6,000 $4,000/$8,000 (incl ded) $7,500/$15,000 (incl ded) 20% 40% $25 ded waived 40% after ded $40 ded waived 40% after ded 20% after ded 40% after ded 20% after ded 40% after ded Hosp-$250 after ded … WebbF Platinum PPO 5/15 Non-Gated OHI CNT (PPO) (UCR=140mc%) In-Network Out-Network 5/30/60/100 ded T2-3 N/A $2,000/$4,000 $3,000/$6,000 $5,000/$10,000 (incl ded) N/A 30% $5 30% after ded $15 30% after ded $150/admit 30% after ded $150/admit 30% after ded Hosp-$100 FS-$50 30% after ded
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WebbNew York Small Group Application – OHI Oxford Health Insurance Inc. www.oxfordhealth.com Mailing Address: Group Enrollment Department, 14 Central Park Drive, Hooksett, NH 03106 Freedom Plan® PPO Liberty Plan PPO Liberty PlanSM Gated PPO Oxford® PPO HSA Oxford® EPO Liberty PlanSM Gated EPO Oxford® EPO HSA … WebbNew Jersey Application for a Small Employer Health Benefits Policy Oxford Health Insurance, Inc. (OHI) Mailing Address: 14 Central Park Drive • Hooksett, NH 03106 1. Policyholder (Full legal name of company): 2. Tax identification number: 3. Main address: Street City State ZIP Code Mailing address: Street City State ZIP Code Fax Telephone ... high school civics worksheets pdf
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WebbPersonalized advocate support Highly trained advocates provide employees with proactive guidance on health programs, preventive care, ways to lower costs and more through Advocate4Me®. It’s designed to help improve the health and productivity of employees … WebbNew York Small Group Application – OHI PPO PPO HSA EPO EPO HSA Mailing Address: Group Enrollment Department, 14 Central Park Drive, Hooksett, NH 03106 Oxford Health Insurance, Inc. 1. Full legal name of group: 2. Primary address of group: (Street Address City, State, ZIP Code) No P.O. Box 3. Plan Administrator/Contact: a. Name b. Title WebbHealth Plan Enrollment or Change for New York State Small Group EPO/PPO Plans: Page 2: Group Name: Group No. Applicant Name: Continued on page 3 (Section 5: Authorization continued from page 2) I hereby certify that the statements made are true and complete to the best of my knowledge and belief. how many cc is a 10 hp motor