For Members
Plan Documents
Find the Evidence of Coverage, Summary of Benefits and Coverage, and Colorado supplement for your plan.
Evidence of Coverage (EOC)
The full legal description of what your plan covers, limits, and excludes. 2027 plan year, English.
Bronze plans
- Colorado Option Bronze Off ExchangePlan ID 11555CO0020051-00 · PDF
- Colorado Option BronzePlan ID 11555CO0020051-01 · PDF
- Colorado Option Bronze NA ZeroPlan ID 11555CO0020051-02 · PDF
- Colorado Option Bronze NAPlan ID 11555CO0020051-03 · PDF
- Bronze 8000 Off ExchangePlan ID 11555CO0020055-00 · PDF
- Bronze 8000Plan ID 11555CO0020055-01 · PDF
- Bronze 8000 NA ZeroPlan ID 11555CO0020055-02 · PDF
- Bronze 8000 NAPlan ID 11555CO0020055-03 · PDF
- Bronze 7000 Rx Copay Off ExchangePlan ID 11555CO0020056-00 · PDF
- Bronze 7000 Rx CopayPlan ID 11555CO0020056-01 · PDF
- Bronze 7000 Rx Copay NA ZeroPlan ID 11555CO0020056-02 · PDF
- Bronze 7000 Rx Copay NAPlan ID 11555CO0020056-03 · PDF
Silver plans
- Colorado Option Silver Off ExchangePlan ID 11555CO0020052-00 · PDF
- Colorado Option SilverPlan ID 11555CO0020052-01 · PDF
- Colorado Option Silver NA ZeroPlan ID 11555CO0020052-02 · PDF
- Colorado Option Silver NAPlan ID 11555CO0020052-03 · PDF
- Colorado Option Silver 73%Plan ID 11555CO0020052-04 · PDF
- Colorado Option Silver 87%Plan ID 11555CO0020052-05 · PDF
- Colorado Option Silver 94%Plan ID 11555CO0020052-06 · PDF
- Colorado Option Silver Off ExchangePlan ID 11555CO0020053-00 · PDF
- Colorado Option Silver Enhanced 73% Off ExchangePlan ID 11555CO0020053-07 · PDF
- Silver 5000 Off ExchangePlan ID 11555CO0020057-00 · PDF
- Silver 5000Plan ID 11555CO0020057-01 · PDF
- Silver 5000 NA ZeroPlan ID 11555CO0020057-02 · PDF
- Silver 5000 NAPlan ID 11555CO0020057-03 · PDF
- Silver 5000 73%Plan ID 11555CO0020057-04 · PDF
- Silver 5000 87%Plan ID 11555CO0020057-05 · PDF
- Silver 5000 94%Plan ID 11555CO0020057-06 · PDF
- Silver 5000 Off ExchangePlan ID 11555CO0020058-00 · PDF
- Silver 4000 Rx Copay Off ExchangePlan ID 11555CO0020059-00 · PDF
- Silver 4000 Rx CopayPlan ID 11555CO0020059-01 · PDF
- Silver 4000 Rx Copay NA ZeroPlan ID 11555CO0020059-02 · PDF
- Silver 4000 Rx Copay NAPlan ID 11555CO0020059-03 · PDF
- Silver 4000 Rx Copay 73%Plan ID 11555CO0020059-04 · PDF
- Silver 4000 Rx Copay 87%Plan ID 11555CO0020059-05 · PDF
- Silver 4000 Rx Copay 94%Plan ID 11555CO0020059-06 · PDF
- Silver 4000 Rx Copay Off ExchangePlan ID 11555CO0020060-00 · PDF
Summary of Benefits and Coverage (SBC)
A standard, easy-to-compare summary of costs and covered services. 2027 plan year, English.
Bronze plans
- Colorado Option Bronze Off ExchangePlan ID 11555CO0020051-00 · PDF
- Colorado Option BronzePlan ID 11555CO0020051-01 · PDF
- Colorado Option Bronze NA ZeroPlan ID 11555CO0020051-02 · PDF
- Colorado Option Bronze NAPlan ID 11555CO0020051-03 · PDF
- Bronze 8000 Off ExchangePlan ID 11555CO0020055-00 · PDF
- Bronze 8000Plan ID 11555CO0020055-01 · PDF
- Bronze 8000 NA ZeroPlan ID 11555CO0020055-02 · PDF
- Bronze 8000 NAPlan ID 11555CO0020055-03 · PDF
- Bronze 7000 Rx Copay Off ExchangePlan ID 11555CO0020056-00 · PDF
- Bronze 7000 Rx CopayPlan ID 11555CO0020056-01 · PDF
- Bronze 7000 Rx Copay NA ZeroPlan ID 11555CO0020056-02 · PDF
- Bronze 7000 Rx Copay NAPlan ID 11555CO0020056-03 · PDF
Silver plans
- Colorado Option Silver Off ExchangePlan ID 11555CO0020052-00 · PDF
- Colorado Option SilverPlan ID 11555CO0020052-01 · PDF
- Colorado Option Silver NA ZeroPlan ID 11555CO0020052-02 · PDF
- Colorado Option Silver NAPlan ID 11555CO0020052-03 · PDF
- Colorado Option Silver 73%Plan ID 11555CO0020052-04 · PDF
- Colorado Option Silver 87%Plan ID 11555CO0020052-05 · PDF
- Colorado Option Silver 94%Plan ID 11555CO0020052-06 · PDF
- Colorado Option Silver Off ExchangePlan ID 11555CO0020053-00 · PDF
- Colorado Option Silver Enhanced 73% Off ExchangePlan ID 11555CO0020053-07 · PDF
- Silver 5000 Off ExchangePlan ID 11555CO0020057-00 · PDF
- Silver 5000Plan ID 11555CO0020057-01 · PDF
- Silver 5000 NA ZeroPlan ID 11555CO0020057-02 · PDF
- Silver 5000 NAPlan ID 11555CO0020057-03 · PDF
- Silver 5000 73%Plan ID 11555CO0020057-04 · PDF
- Silver 5000 87%Plan ID 11555CO0020057-05 · PDF
- Silver 5000 94%Plan ID 11555CO0020057-06 · PDF
- Silver 5000 Off ExchangePlan ID 11555CO0020058-00 · PDF
- Silver 4000 Rx Copay Off ExchangePlan ID 11555CO0020059-00 · PDF
- Silver 4000 Rx CopayPlan ID 11555CO0020059-01 · PDF
- Silver 4000 Rx Copay NA ZeroPlan ID 11555CO0020059-02 · PDF
- Silver 4000 Rx Copay NAPlan ID 11555CO0020059-03 · PDF
- Silver 4000 Rx Copay 73%Plan ID 11555CO0020059-04 · PDF
- Silver 4000 Rx Copay 87%Plan ID 11555CO0020059-05 · PDF
- Silver 4000 Rx Copay 94%Plan ID 11555CO0020059-06 · PDF
- Silver 4000 Rx Copay Off ExchangePlan ID 11555CO0020060-00 · PDF
Colorado Supplement to the SBC (COSSBC)
Colorado-required supplemental benefit information for each plan. 2027 plan year, English.
Bronze plans
- Colorado Option Bronze Off ExchangePlan ID 11555CO0020051-00 · PDF
- Colorado Option BronzePlan ID 11555CO0020051-01 · PDF
- Colorado Option Bronze NA ZeroPlan ID 11555CO0020051-02 · PDF
- Colorado Option Bronze NAPlan ID 11555CO0020051-03 · PDF
- Bronze 8000 Off ExchangePlan ID 11555CO0020055-00 · PDF
- Bronze 8000Plan ID 11555CO0020055-01 · PDF
- Bronze 8000 NA ZeroPlan ID 11555CO0020055-02 · PDF
- Bronze 8000 NAPlan ID 11555CO0020055-03 · PDF
- Bronze 7000 Rx Copay Off ExchangePlan ID 11555CO0020056-00 · PDF
- Bronze 7000 Rx CopayPlan ID 11555CO0020056-01 · PDF
- Bronze 7000 Rx Copay NA ZeroPlan ID 11555CO0020056-02 · PDF
- Bronze 7000 Rx Copay NAPlan ID 11555CO0020056-03 · PDF
Silver plans
- Colorado Option Silver Off ExchangePlan ID 11555CO0020052-00 · PDF
- Colorado Option SilverPlan ID 11555CO0020052-01 · PDF
- Colorado Option Silver NA ZeroPlan ID 11555CO0020052-02 · PDF
- Colorado Option Silver NAPlan ID 11555CO0020052-03 · PDF
- Colorado Option Silver 73%Plan ID 11555CO0020052-04 · PDF
- Colorado Option Silver 87%Plan ID 11555CO0020052-05 · PDF
- Colorado Option Silver 94%Plan ID 11555CO0020052-06 · PDF
- Colorado Option Silver Off ExchangePlan ID 11555CO0020053-00 · PDF
- Colorado Option Silver Enhanced 73% Off ExchangePlan ID 11555CO0020053-07 · PDF
- Silver 5000 Off ExchangePlan ID 11555CO0020057-00 · PDF
- Silver 5000Plan ID 11555CO0020057-01 · PDF
- Silver 5000 NA ZeroPlan ID 11555CO0020057-02 · PDF
- Silver 5000 NAPlan ID 11555CO0020057-03 · PDF
- Silver 5000 73%Plan ID 11555CO0020057-04 · PDF
- Silver 5000 87%Plan ID 11555CO0020057-05 · PDF
- Silver 5000 94%Plan ID 11555CO0020057-06 · PDF
- Silver 5000 Off ExchangePlan ID 11555CO0020058-00 · PDF
- Silver 4000 Rx Copay Off ExchangePlan ID 11555CO0020059-00 · PDF
- Silver 4000 Rx CopayPlan ID 11555CO0020059-01 · PDF
- Silver 4000 Rx Copay NA ZeroPlan ID 11555CO0020059-02 · PDF
- Silver 4000 Rx Copay NAPlan ID 11555CO0020059-03 · PDF
- Silver 4000 Rx Copay 73%Plan ID 11555CO0020059-04 · PDF
- Silver 4000 Rx Copay 87%Plan ID 11555CO0020059-05 · PDF
- Silver 4000 Rx Copay 94%Plan ID 11555CO0020059-06 · PDF
- Silver 4000 Rx Copay Off ExchangePlan ID 11555CO0020060-00 · PDF