San Francisco County Employers – New Group Health Plan 2021 Answer three simple questions to identify your annual savings! Your Current Monthly Premium * Total Cost Each Month (includes ALL employees) Employees Enrolled * Enter number of employees enrolled (not dependents) Next Renewal Date * - Month - Day Year When your current plan renews Back Next Plan Type * Please Select Platinum / PPO Gold / PPO Silver / PPO Bronze / PPO Platinum / EPO Gold / EPO Silver / EPO Bronze / EPO Back Next Platinum / PPO Current Carrier * Please Select Anthem BC Blue Shield UnitedHealthcare Back Next Gold / PPO Current Carrier * Please Select Anthem BC Blue Shield UnitedHealthcare Back Next Silver / PPO Current Carrier * Please Select Anthem BC Blue Shield UnitedHealthcare Back Next Bronze / PPO Current Carrier * Please Select Anthem BC Blue Shield UnitedHealthcare Back Next Platinum / EPO Current Carrier * Please Select Cigna + Oscar CA UnitedHealthcare Back Next Gold / EPO Current Carrier * Please Select Anthem BC Cigna + Oscar CA UnitedHealthcare Back Next Silver / EPO Current Carrier * Please Select Cigna + Oscar CA UnitedHealthcare Back Next Bronze / EPO Current Carrier * Please Select Cigna + Oscar CA UnitedHealthcare Back Next Platinum / PPO > Aetna > Current Plan * Please Select CA Platinum MC 90/50 0 Ded Back Next Platinum / PPO > Anthem BC > Current Plan * Please Select Anthem Platinum Select PPO 15/10% (5SV0) Anthem Platinum PPO 5/250/15% WH (5SZF) Anthem Platinum PPO 20/10% (5SVU) Anthem Platinum Select PPO 20/10% (5SVQ) Anthem Platinum PPO 15/250/10% (5SYC) Anthem Platinum Select PPO 15/250/10% (5SYG) Anthem Platinum PPO 5/250/15% (5SRH) Anthem Platinum Select PPO 5/250/15% (5SRM) Back Next Platinum / PPO > Blue Shield > Current Plan * Please Select Platinum Full PPO 250/10 OffEx Platinum Full PPO 0/0 OffEx Platinum Full PPO 0/10 OffEx Platinum Full PPO 250/15 OffEx Platinum Tandem PPO 250/10 OffEx Platinum Tandem PPO 0/0 OffEx Platinum Tandem PPO 0/10 OffEx Platinum Tandem PPO 250/15 OffEx Back Next Platinum / PPO > UnitedHealthcare > Current Plan * Please Select Select Plus Platinum 15/90% (CE-MJ) Core Platinum 15/90% (CE-MP) Select Plus Platinum 250/80% (CE-ML) Select Plus Platinum 15/250/80% (CE-MK) Core Platinum 250/80% (CE-MR) Core Platinum 15/250/80% (CE-MQ) Back Next Gold / PPO > Aetna > Current Plan * Please Select CA Gold MC 80/50 350 Ded CA Gold MC 80/50 750 Ded CA Gold MC 80/50 1500 Ded CA Gold MC 80/50 1250 Ded Back Next Gold / PPO > Anthem BC > Current Plan * Please Select Anthem Gold Select PPO 25/350/20% (5SUV) Anthem Gold PPO 35/500/25% WH (5SZK) Anthem Gold PPO 20/30% (5SXU) Anthem Gold Select PPO 20/30% (5SXY) Anthem Gold PPO 35/1000/20% WH (5SZP) Anthem Gold PPO 30/500/20% (5SY2) Anthem Gold Select PPO 30/500/20% (5SY6) Anthem Gold PPO 30/750/20% (5SYU) Anthem Gold Select PPO 30/750/20% (5SYY) Anthem Gold PPO 35/500/25% (5SQT) Anthem Gold Select PPO 35/500/25% (5SQX) Anthem Gold PPO 35/1000/20% (5SZ2) Anthem Gold Select PPO 35/1000/20% (5SZ6) Anthem Gold PPO 5/1500/30% (5SRR) Anthem Gold Select PPO 5/1500/30% (5SRV) Back Next Gold / PPO > Blue Shield > Current Plan * Please Select Gold Full PPO 0/25 OffEx Gold Full PPO 500/30 OffEx Gold Full PPO Savings 1750/15% OffEx Gold Full PPO 750/30 OffEx Gold Full PPO 1200/35 OffEx Gold Tandem PPO 0/25 OffEx Gold Tandem PPO Savings 1750/15% OffEx Gold Tandem PPO 500/30 OffEx Gold Tandem PPO 750/30 OffEx Gold Tandem PPO 1200/35 OffEx Back Next Gold / PPO > UnitedHealthcare > Current Plan * Please Select Select Plus Gold 30/70% (CE-M3) Select Plus Gold 30/500/80% (CE-M4) Select Plus Gold 35/1000/80% (CE-M5) Core Gold 30/70% (CE-M9) Select Plus Gold 1500/70% (CE-M6) Core Gold 30/500/80% (CE-NA) Core Gold 35/1000/80% (CE-NB) Core Gold 1500/70% (CE-NC) Back Next Silver / PPO > Aetna > Current Plan * Please Select CA Silver MC 70/50 2250 Ded CA Silver MC 60/50 2000 Ded CA Silver MC 60/50 2550 Ded Back Next Silver / PPO > Anthem BC > Current Plan * Please Select Anthem Silver Select PPO 50/2250/30% (5SV8) Anthem Silver PPO 45/1750/40% WH (5SZT) Anthem Silver PPO 55/2500/45% WH (5SZX) Anthem Silver PPO 45/1750/40% (5SZA) Anthem Silver Select PPO 45/1750/40% (5SZE) Anthem Silver PPO 55/1850/35% (2LHZ) Anthem Silver Select PPO 55/1850/35% (2LHV) Anthem Silver PPO 50/2200/40% (5SYL) Anthem Silver Select PPO 50/2200/40% (5SYQ) Anthem Silver PPO 55/2500/45% (5SR1) Anthem Silver Select PPO 55/2500/45% (5SR5) Anthem Silver PPO 2000/30% w/HSA - RxC-Single/Family (5SW5/5SWD) Anthem Silver Select PPO 2000/30% w/HSA - RxC-Single/Family (5SW1/5SW9) Anthem Silver PPO 2500/35% w/HSA PrevRx-Single/Family (5T0V/5T0Z) Anthem Silver Select PPO 2500/35% w/HSA PrevRx-Single/Family (5T13/5T17) Back Next Silver / PPO > Blue Shield > Current Plan * Please Select Silver Full PPO 1950/50 OffEx Silver Full PPO Savings 2100/25% OffEx Silver Full PPO 2400/55 OffEx Silver Full PPO Savings 2600/35% OffEx Silver Tandem PPO 1950/50 OffEx Silver Tandem PPO Savings 2100/25% OffEx Silver Tandem PPO 2400/55 OffEx Silver Tandem PPO Savings 2600/35% OffEx Back Next Silver / PPO > UnitedHealthcare > Current Plan * Please Select Select Plus HSA w/Motion Silver 2550/60% (CE-MM) Select Plus Silver 55/1750/60% (CE-M7) Select Plus Silver 55/2250/60% (CE-M8) Core HSA w/Motion Silver 2550/60% (CE-MS) Core Silver 55/1750/60% (CE-ND) Core Silver 55/2250/60% (CE-NE) Back Next Bronze / PPO > Aetna > Current Plan * Please Select CA Bronze MC 100 7000 Ded HSA CA Bronze MC 60/50 6300 Ded CA Bronze MC 50/50 8300 Ded Back Next Bronze / PPO > Anthem BC > Current Plan * Please Select Anthem Bronze PPO 75/7300/40% (5T09) Anthem Bronze Select PPO 75/7300/40% (5T0D) Anthem Bronze PPO 5600/45% w/HSA WH (5T01) Anthem Bronze PPO 6950/0% w/HSA WH (5T05) Anthem Bronze PPO 60/6350/40% (5SSR) Anthem Bronze Select PPO 60/6350/40% (5SSV) Anthem Bronze PPO 4600/50% (5SR9) Anthem Bronze Select PPO 4600/50% (5SRD) Anthem Bronze PPO 5600/45% w/HSA (5STX) Anthem Bronze Select PPO 5600/45% w/HSA (5SU1) Anthem Bronze PPO 40/5600/40% (5SWH) Anthem Bronze Select PPO 40/5600/40% (5SWM) Anthem Bronze Select PPO 7000/0% w/HSA (5SV4) Anthem Bronze PPO 6950/0% w/HSA (5SU5) Anthem Bronze Select PPO 6950/0% w/HSA (5SU9) Anthem Bronze PPO 70/6600/35% (5SXL) Anthem Bronze Select PPO 70/6600/35% (5SXQ) Back Next Bronze / PPO > Blue Shield > Current Plan * Please Select Bronze Full PPO 6850/65 OffEx Bronze Full PPO Savings 5700/40% OffEx Bronze Full PPO Savings 7000 OffEx Bronze Full PPO 6250/70 OffEx Bronze Full PPO 7500/50 OffEx Bronze Tandem PPO 6850/65 OffEx Bronze Tandem PPO Savings 5700/40% OffEx Bronze Tandem PPO Savings 7000 OffEx Bronze Tandem PPO 6250/70 OffEx Bronze Tandem PPO 7500/50 OffEx Back Next Bronze / PPO > UnitedHealthcare > Current Plan * Please Select Select Plus HSA w/Motion Bronze 7000/100% (CE-MN) Select Plus Bronze 7200/60% (CE-MO) Core HSA w/Motion Bronze 7000/100% (CE-MT) Core Bronze 7200/60% (CE-MU) Back Next Silver / EPO > Aetna > Current Plan * Please Select CA Silver EPO 60 2000 Ded Back Next Silver / EPO > Cigna + Oscar CA > Current Plan * Please Select Cigna+Oscar Open Access Plus Silver $2000 Cigna+Oscar Open Access Plus Silver $1700 Cigna+Oscar Open Access Plus Silver $2250 Option 1 Cigna+Oscar Open Access Plus Silver $2250 Option 2 Cigna+Oscar LocalPlus Silver $2000 Cigna+Oscar LocalPlus Silver $1700 Cigna+Oscar LocalPlus Silver $2250 Option1 Cigna+Oscar LocalPlus Silver $2250 Option 2 Back Next Silver / EPO > UnitedHealthcare > Current Plan * Please Select Doctors Plan HSA w/Motion Silver 2550/60% (CE-MY) Doctors Plan Silver 55/1750/60% (CE-NJ) Doctors Plan Silver 55/2250/60% (CE-NK) Back Next Gold / EPO > Anthem BC > Current Plan * Please Select Anthem Gold EPO 35/500/20% (5SSZ) Anthem Gold EPO 35/1700/20% (5ST3) Back Next Gold / EPO > Cigna + Oscar CA > Current Plan * Please Select Cigna+Oscar Open Access Plus Gold $250 Cigna+Oscar Open Access Plus Gold $0 Cigna+Oscar Open Access Plus Gold $750 Cigna+Oscar Open Access Plus Gold $1200 Cigna+Oscar LocalPlus Gold $250 Cigna+Oscar LocalPlus Gold $0 Cigna+Oscar LocalPlus Gold $750 Cigna+Oscar LocalPlus Gold $1200 Back Next Gold / EPO > UnitedHealthcare > Current Plan * Please Select Doctors Plan Gold 30/70% (CE-NF) Doctors Plan Gold 30/500/80% (CE-NG) Doctors Plan Gold 35/1000/80% (CE-NH) Doctors Plan Gold 1500/70% (CE-NI) Back Next Platinum / EPO > Cigna + Oscar CA > Current Plan * Please Select Cigna+Oscar Open Access Plus Platinum $0 Option 2 Cigna+Oscar Open Access Plus Platinum $0 Option 1 Cigna+Oscar Open Access Plus Platinum $250 Cigna+Oscar Open Access Plus Platinum $500 Cigna+Oscar LocalPlus Platinum $0 Option 2 Cigna+Oscar LocalPlus Platinum $0 Option 1 Cigna+Oscar LocalPlus Platinum $250 Cigna+Oscar LocalPlus Platinum $500 Back Next Platinum / EPO > UnitedHealthcare > Current Plan * Please Select Doctors Plan Platinum 15/90% (CE-MV) Doctors Plan Platinum 250/80% (CE-MX) Doctors Plan Platinum 15/250/80% (CE-MW) Back Next Bronze / EPO > Cigna + Oscar CA > Current Plan * Please Select Cigna+Oscar Open Access Plus Bronze $6500 HSA Cigna+Oscar Open Access Plus Bronze $5500 HSA Cigna+Oscar Open Access Plus Bronze $6300 Cigna+Oscar LocalPlus Bronze $6500 HSA Cigna+Oscar Open Access Plus Bronze $6000 Cigna+Oscar LocalPlus Bronze $5500 HSA Cigna+Oscar LocalPlus Bronze $6300 Cigna+Oscar LocalPlus Bronze $6000 Back Next Bronze / EPO > UnitedHealthcare > Current Plan * Please Select Doctors Plan HSA w/Motion Bronze 7000/100% (CE-MZ) Doctors Plan Bronze 7200/60% (CE-M2) Back Next Thank You! Please Press the Submit Button. You Will Receive Your Result Soon. Name * First Name Last Name Your Company Name Email * example@example.com Phone Number * Please enter a valid phone number. Renewal Month * Please Select January February March April May June July August September October November December Calculate Savings Should be Empty: