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here to
link to our site
Aetna
|
Click on the button below to obtain the appropriate forms. These are pdf files to be printed, completed, and faxed to our office.
| Employee Application Package for New Group | Add Employee to Existing Group Plan | Employee Waiver |
Employee forms can be faxed to our office at (303) 721-1085. Please confirm that application was received by calling (303) 721-1145. Please call with any questions regarding eligibility or waiting periods.
PPO Plans
| Health Plan Name |
Office Visit Copay |
Deductible |
Coinsurance |
| Basic PPO | $30 |
$3000 |
30% to $6700 |
| Standard PPO | $20 | $1000 | 20% to $5K |
| Plan 1 | $20 | $500 | 10% to $20K |
| Plan 2 | $20 | $1000 | 10% to $20K |
| Plan 3 | $20 | $1500 | 20% to $15K |
| Plan 4 | $25 | $2000 | 20% to $15K |
| Plan 5 | $25 | $2500 | 20% to $15K |
| Plan 6 | $25 | $3000 | 20% to $25K |
BluePreferred PPO Plans
HSA Plans
Plan Name |
Deductible |
Coinsurance |
Max Out-of-Pocket (includes deductible) |
| $2250/$4500 |
90/10 |
$2500/$5000 |
|
| $2500/$5000 |
80/20 |
$3500/$7000 |
 |
Click
below for: Roper Individual Health Insurance Services |
 South Metro Denver Chamber of Commerce |
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