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HSA Benefit Summaries - Grandfathered

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Note: For HSA plan designs, the incentives for Fully Insured groups are available as gift cards only, so the benefit summary language is different. Please select the benefit summary under the correct funding arrangement.  
Incentive Plans (Non-Embedded Deductible)  

Fully Insured Groups  
 
Self Funded Groups (ASO)  
 
PPO CDHP GGHSA44 
PPO CDHP GGHSA44 
PPO CDHP GGHSA45 
PPO CDHP GGHSA45 
PPO CDHP GGHSA46 
PPO CDHP GGHSA46 
PPO CDHP GGHSA47 
PPO CDHP GGHSA47 
PPO CDHP GGHSA48 
PPO CDHP GGHSA48 
PPO CDHP GGHSA49 
PPO CDHP GGHSA49 
PPO CDHP GGHSA50 
PPO CDHP GGHSA50 
 
Incentive Plans (Embedded Deductible)  

Fully Insured Groups  
 
Self Funded Groups (ASO)  
 
PPO CDHP GGHSA58 
PPO CDHP GGHSA58 
PPO CDHP GGHSA59 
PPO CDHP GGHSA59 
PPO CDHP GGHSA60 
PPO CDHP GGHSA60 
PPO CDHP GGHSA61 
PPO CDHP GGHSA61 
PPO CDHP GGHSA62 
PPO CDHP GGHSA62 
 
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