M.T.Donahoe & Associates, LLC

Area	flav	Metal	PN	Description	Product	CPID	SHOP	Click For	Start	End
VA	D	N/A	25030	BD - Essential Choice VA-B7	DEN	3LXX	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25031	Essential Choice Classic VA-C1	DEN	3LUF	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25032	Essential Choice Classic VA-C10	DEN	3LUQ	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25033	Essential Choice Classic VA-C13	DEN	3LUT	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25034	Essential Choice Classic VA-C14	DEN	3LUU	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25035	Essential Choice Classic VA-C17	DEN	3LUX	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25036	Essential Choice Classic VA-C18	DEN	3LUY	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25037	Essential Choice Classic VA-C2	DEN	3LUG	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25038	Essential Choice Classic VA-C25	DEN	3LV5	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25039	Essential Choice Classic VA-C26	DEN	3LV6	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25040	Essential Choice Classic VA-C27	DEN	3LV7	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25041	Essential Choice Classic VA-C28	DEN	3LV8	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25042	Essential Choice Classic VA-C33	DEN	3LXZ	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25043	Essential Choice Classic VA-C34	DEN	3LY0	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25044	Essential Choice Classic VA-C41	DEN	3LY7	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25045	Essential Choice Classic VA-C42	DEN	3LY8	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25046	Essential Choice Classic VA-C9	DEN	3LUP	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25047	Essential Choice Enhanced VA-E1	DEN	3LVD	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25048	Essential Choice Enhanced VA-E13	DEN	3LVR	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25049	Essential Choice Enhanced VA-E17	DEN	3LVV	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25050	Essential Choice Enhanced VA-E5	DEN	3LVH	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25051	Essential Choice Voluntary VA-V1	DEN	3LWT	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25052	Essential Choice Voluntary VA-V13	DEN	3LX5	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25053	Essential Choice Voluntary VA-V2	DEN	3LWU	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25054	Essential Choice Voluntary VA-V25	DEN	3LXH	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25055	Essential Choice Voluntary VA-V26	DEN	3LXJ	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25056	Essential Choice Voluntary VA-V33	DEN	3LYF	NA	Benefits	7/1/2019	9/30/2021
VA	D	N/A	25057	Essential Choice Voluntary VA-V34	DEN	3LYG	NA	Benefits	7/1/2019	9/30/2021
VA	M	Bronze	28602	Anthem Bronze PPO 8500/0%/8500	PPO	5L5Z	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Bronze	28603	Anthem HealthKeepers Bronze OAPOS 8500/0%/8500	POS	5L61	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28608	Anthem Gold PPO 1000/20%/5500	PPO	5L6B	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28623	Anthem Gold PPO 1500/20%/5750	PPO	5L77	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28624	Anthem Gold PPO 1500/30%/6000	PPO	5L79	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28633	Anthem Gold PPO 20/0%/5500	PPO	5L7T	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28627	Anthem Gold PPO 2000/20%/5250	PPO	5L7F	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28639	Anthem Gold PPO 25/20%/6000	PPO	5L85	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28606	Anthem Gold PPO 2800/10%/5000 w/HSA	PPO	5L67	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28630	Anthem Gold PPO 30/30%/6500	PPO	5L7M	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28647	Anthem Gold PPO 3000/20%/5500	PPO	5L8M	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28616	Anthem Gold PPO 750/20%/7700	PPO	5L6T	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28609	Anthem HealthKeepers Gold OAPOS 1000/20%/5500	POS	5L6D	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28622	Anthem HealthKeepers Gold OAPOS 1500/20%/5750	POS	5L75	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28625	Anthem HealthKeepers Gold OAPOS 1500/30%/6000	POS	5L7B	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28632	Anthem HealthKeepers Gold OAPOS 20/0%/5500	POS	5L7R	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28626	Anthem HealthKeepers Gold OAPOS 2000/20%/5250	POS	5L7D	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28640	Anthem HealthKeepers Gold OAPOS 25/20%/6000	POS	5L87	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28607	Anthem HealthKeepers Gold OAPOS 2800/10%/5000 w/HSA	POS	5L69	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28631	Anthem HealthKeepers Gold OAPOS 30/30%/6500	POS	5L7P	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28648	Anthem HealthKeepers Gold OAPOS 3000/20%/5500	POS	5L8P	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28617	Anthem HealthKeepers Gold OAPOS 750/20%/7700	POS	5L6V	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28650	Anthem Link Gold Blue Connection OAEPO 1000/20%/8000 (MUST be sold with KeyCare PPO)	EPO	5L8T	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28651	Anthem Link Gold Blue Connection OAEPO 2000/20%/5000 (MUST be sold with KeyCare PPO)	EPO	5L8V	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Gold	28652	Anthem Link Gold Blue Connection OAEPO 3000/20%/6000 (MUST be sold with KeyCare PPO)	EPO	5L8X	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Platinum	28614	Anthem HealthKeepers Platinum OAPOS 10/0%/3500	POS	5L6P	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Platinum	28610	Anthem HealthKeepers Platinum OAPOS 250/10%/4000	POS	5L6F	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Platinum	28612	Anthem HealthKeepers Platinum OAPOS 500/10%/4500	POS	5L6K	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Platinum	28649	Anthem Link Platinum Blue Connection OAEPO 500/20%/2500 (MUST be sold with KeyCare PPO)	EPO	5L8R	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Platinum	28615	Anthem Platinum PPO 10/0%/3500	PPO	5L6R	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Platinum	28611	Anthem Platinum PPO 250/10%/4000	PPO	5L6H	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Platinum	28613	Anthem Platinum PPO 500/10%/4500	PPO	5L6M	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28620	Anthem HealthKeepers Silver OAPOS 2250/50%/8550	POS	5L71	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28636	Anthem HealthKeepers Silver OAPOS 2500/35%/6500	POS	5L7Z	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28635	Anthem HealthKeepers Silver OAPOS 3250/20%/6750 w/HSA	POS	5L7X	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28629	Anthem HealthKeepers Silver OAPOS 3500/30%/5500	POS	5L7K	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28637	Anthem HealthKeepers Silver OAPOS 4000/20%/7000 w/HSA	POS	5L81	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28619	Anthem HealthKeepers Silver OAPOS 4000/20%/8550	POS	5L6Z	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28601	Anthem HealthKeepers Silver OAPOS 4500/20%/7000 w/HSA	POS	5L5X	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28644	Anthem HealthKeepers Silver OAPOS 5000/20%/7000 w/HSA	POS	5L8F	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28646	Anthem HealthKeepers Silver OAPOS 5500/20%/8000	POS	5L8K	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28605	Anthem HealthKeepers Silver OAPOS 6000/20%/7000 w/HSA	POS	5L65	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28628	Anthem HealthKeepers Silver OAPOS 6500/0%/8550	POS	5L7H	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28641	Anthem HealthKeepers Silver OAPOS 6850/0%/6850 w/HSA	POS	5L89	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28653	Anthem Link Silver Blue Connection OAEPO 7000/30%/8400 (MUST be sold with KeyCare PPO)	EPO	5L8Z	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28621	Anthem Silver PPO 2250/50%/8550	PPO	5L73	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28634	Anthem Silver PPO 3250/20%/6750 w/HSA	PPO	5L7V	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28638	Anthem Silver PPO 4000/20%/7000 w/HSA	PPO	5L83	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28618	Anthem Silver PPO 4000/20%/8550	PPO	5L6X	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28600	Anthem Silver PPO 4500/20%/7000 w/HSA	PPO	5L5V	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28643	Anthem Silver PPO 5000/20%/7000 w/HSA	PPO	5L8D	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28645	Anthem Silver PPO 5500/20%/8000	PPO	5L8H	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28604	Anthem Silver PPO 6000/20%/7000 w/HSA	PPO	5L63	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	M	Silver	28642	Anthem Silver PPO 6850/0%/6850 w/HSA	PPO	5L8B	OFF-SHOP	Benefits	1/1/2021	9/30/2021
VA	V	None	22560	Blue View Vision FS.A.10.0.130.130	VIS	4AHK	N/A	Benefits	1/1/2020	9/30/2021
VA	V	None	22563	Blue View Vision FS.A.10.20.130.130	VIS	4B2C	N/A	Benefits	2/1/2020	9/30/2021
VA	V	None	22564	Blue View Vision FS.A.10.25.130.130	VIS	4B4Y	N/A	Benefits	2/1/2020	9/30/2021
VA	V	None	22561	Blue View Vision FS.B.10.20.130.130	VIS	4BF7	N/A	Benefits	1/1/2020	9/30/2021
VA	V	None	22562	Blue View Vision FS.C.20.20.130.130	VIS	4BUP	N/A	Benefits	1/1/2020	9/30/2021
VA	M	Bronze	28508	Anthem Bronze OAEPO 7150/40%/8150	EPO	4ABA	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Bronze	28550	Anthem Bronze PPO 6000/20%/8150	PPO	4ADS	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Bronze	28533	Anthem Bronze PPO 6700/0%/6850 w/HSA	PPO	4ACS	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Bronze	28556	Anthem Bronze PPO 8150/0%/8150	PPO	4AE4	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Bronze	28551	Anthem HealthKeepers Bronze OAPOS 6000/20%/8150	POS	4ADU	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Bronze	28539	Anthem HealthKeepers Bronze OAPOS 6200/0%/7850	POS	4AD4	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Bronze	28532	Anthem HealthKeepers Bronze OAPOS 6700/0%/6850 w/HSA	POS	4ACQ	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Bronze	28557	Anthem HealthKeepers Bronze OAPOS 8150/0%/8150	POS	4AE6	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Bronze	28525	Anthem HealthKeepers Bronze Pathway OAPOS 5500/30%/6850 w/HSA	POS	4ACA	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28507	Anthem Gold OAEPO 2000/20%/7000	EPO	4AB8	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28545	Anthem Gold PPO 1000/20%/5500	PPO	4ADG	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28516	Anthem Gold PPO 1500/20%/4500	PPO	4ABS	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28517	Anthem Gold PPO 1500/30%/4750	PPO	4ABU	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28544	Anthem Gold PPO 20/0%/5500	PPO	4ADE	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28520	Anthem Gold PPO 2000/20%/4000	PPO	4AC0	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28530	Anthem Gold PPO 25/20%/5000	PPO	4ACL	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28552	Anthem Gold PPO 2800/10%/4000 w/HSA	PPO	4ADW	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28541	Anthem Gold PPO 30/30%/6000	PPO	4AD8	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28509	Anthem Gold PPO 750/20%/6500	PPO	4ABC	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28546	Anthem HealthKeepers Gold OAPOS 1000/20%/5500	POS	4ADJ	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28515	Anthem HealthKeepers Gold OAPOS 1500/20%/4500	POS	4ABQ	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28518	Anthem HealthKeepers Gold OAPOS 1500/30%/4750	POS	4ABW	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28543	Anthem HealthKeepers Gold OAPOS 20/0%/5500	POS	4ADC	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28519	Anthem HealthKeepers Gold OAPOS 2000/20%/4000	POS	4ABY	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28531	Anthem HealthKeepers Gold OAPOS 25/20%/5000	POS	4ACN	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28553	Anthem HealthKeepers Gold OAPOS 2800/10%/4000 w/HSA	POS	4ADY	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28542	Anthem HealthKeepers Gold OAPOS 30/30%/6000	POS	4ADA	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28510	Anthem HealthKeepers Gold OAPOS 750/20%/6500	POS	4ABE	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28522	Anthem HealthKeepers Gold Pathway OAPOS 1000/20%/6500	POS	4AC4	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28524	Anthem HealthKeepers Gold Pathway OAPOS 20/0%/5500	POS	4AC8	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Gold	28523	Anthem HealthKeepers Gold Pathway OAPOS 2000/20%/5500	POS	4AC6	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Platinum	28526	Anthem HealthKeepers Platinum OAPOS 10/0%/3500	POS	4ACC	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Platinum	28528	Anthem HealthKeepers Platinum OAPOS 15/0%/3000	POS	4ACG	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Platinum	28500	Anthem HealthKeepers Platinum OAPOS 250/10%/4000	POS	4AAU	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Platinum	28502	Anthem HealthKeepers Platinum OAPOS 500/10%/4500	POS	4AAY	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Platinum	28504	Anthem HealthKeepers Platinum OAPOS 750/20%/2500	POS	4AB2	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Platinum	28506	Anthem Platinum OAEPO 500/10%/3500	EPO	4AB6	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Platinum	28527	Anthem Platinum PPO 10/0%/3500	PPO	4ACE	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Platinum	28529	Anthem Platinum PPO 15/0%/3000	PPO	4ACJ	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Platinum	28501	Anthem Platinum PPO 250/10%/4000	PPO	4AAW	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Platinum	28503	Anthem Platinum PPO 500/10%/4500	PPO	4AB0	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Platinum	28505	Anthem Platinum PPO 750/20%/2500	PPO	4AB4	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Silver	28513	Anthem HealthKeepers Silver OAPOS 2000/50%/8150	POS	4ABL	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Silver	28536	Anthem HealthKeepers Silver OAPOS 2500/35%/6500	POS	4ACY	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Silver	28535	Anthem HealthKeepers Silver OAPOS 2800/20%/6500 w/HSA	POS	4ACW	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Silver	28549	Anthem HealthKeepers Silver OAPOS 3000/30%/7500	POS	4ADQ	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Silver	28540	Anthem HealthKeepers Silver OAPOS 3500/30%/5500	POS	4AD6	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Silver	28537	Anthem HealthKeepers Silver OAPOS 4000/10%/5500 w/HSA	POS	4AD0	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Silver	28512	Anthem HealthKeepers Silver OAPOS 4000/20%/7350	POS	4ABJ	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Silver	28555	Anthem HealthKeepers Silver OAPOS 4500/20%/7000	POS	4AE2	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Silver	28521	Anthem HealthKeepers Silver Pathway OAPOS 3000/20%/6850 w/HSA	POS	4AC2	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Silver	28548	Anthem Silver OAEPO 3500/20%/7500	EPO	4ADN	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Silver	28514	Anthem Silver PPO 2000/50%/8150	PPO	4ABN	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Silver	28534	Anthem Silver PPO 2800/20%/6500 w/HSA	PPO	4ACU	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Silver	28547	Anthem Silver PPO 3000/30%/7500	PPO	4ADL	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Silver	28538	Anthem Silver PPO 4000/10%/5500 w/HSA	PPO	4AD2	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Silver	28511	Anthem Silver PPO 4000/20%/7350	PPO	4ABG	OFF-SHOP	Benefits	1/1/2020	12/31/2020
VA	M	Silver	28554	Anthem Silver PPO 4500/20%/7000	PPO	4AE0	OFF-SHOP	Benefits	1/1/2020	12/31/2020

Word in Desc	Replaced with
ANTHEM
AETNA
EVERGREEN
KP
HEALTHKEEPERS	HK
BLUEPREFERRED	BP
BLUECHOICE PLUS	BCP
BLUECHOICE	BCH
HEALTHYBLUE	HB
ADVANTAGE	Adv
BLUEFUND	BF
COMPATIBLE	Comp

State	Metal	Product	Shop