chppayment.christushealth.org - /documents/2025/HIX/SBC/LA SBC/English/

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 8/15/2024 10:28 AM       453136 98780_SBC_CHRISTUS_American_Indian_Zero_Cost_Sharing_2025_MC5555.pdf
 8/15/2024 10:28 AM       453853 98780_SBC_CHRISTUS_American_Indian_Zero_Cost_Sharing_Plus_2025_MC5556.pdf
 8/15/2024 10:28 AM       260731 98780_SBC_CHRISTUS_American_Indian_Zero_Cost_Sharing_Plus_Fitness_2025_MC5557.pdf
 8/15/2024 10:28 AM       260859 98780_SBC_CHRISTUS_American_Indian_Zero_Cost_Sharing_Plus_Fitness_Dental_Vision_2025_MC5561.pdf
 8/15/2024 10:28 AM       261599 98780_SBC_CHRISTUS_Bronze_2025_MC5559.pdf
 8/15/2024 10:28 AM       261431 98780_SBC_CHRISTUS_Bronze_Essential_2025_MC5560.pdf
 8/15/2024 10:28 AM       270906 98780_SBC_CHRISTUS_Bronze_Essential_Limited_2025_MC5562.pdf
 8/15/2024 10:28 AM       261732 98780_SBC_CHRISTUS_Bronze_Essential_Plus_2025_MC5558.pdf
 8/15/2024 10:28 AM       271431 98780_SBC_CHRISTUS_Bronze_Essential_Plus_Limited_2025_MC5563.pdf
 8/15/2024 10:28 AM       271576 98780_SBC_CHRISTUS_Bronze_Limited_2025_MC5564.pdf
 8/15/2024 10:28 AM       261902 98780_SBC_CHRISTUS_Bronze_Plus_2025_MC5565.pdf
 8/15/2024 10:28 AM       271868 98780_SBC_CHRISTUS_Bronze_Plus_Limited_2025_MC5566.pdf
 8/15/2024 10:28 AM       460676 98780_SBC_CHRISTUS_Gold_2025_MC5567.pdf
 8/15/2024 10:28 AM       465489 98780_SBC_CHRISTUS_Gold_Essential_2025_MC5568.pdf
 8/15/2024 10:28 AM       483227 98780_SBC_CHRISTUS_Gold_Essential_Limited_2025_MC5569.pdf
 8/15/2024 10:28 AM       506910 98780_SBC_CHRISTUS_Gold_Essential_Plus_2025_MM5570.pdf
 8/15/2024 10:28 AM       525051 98780_SBC_CHRISTUS_Gold_Essential_Plus_Limited_2025_MC5571.pdf
 8/15/2024 10:28 AM       518212 98780_SBC_CHRISTUS_Gold_Limited_2025_MC5572.pdf
 8/15/2024 10:28 AM       501122 98780_SBC_CHRISTUS_Gold_Plus_2025_MC5573.pdf
 8/15/2024 10:28 AM       518936 98780_SBC_CHRISTUS_Gold_Plus_Limited_2025_MC5574.pdf
 8/15/2024 10:28 AM       258408 98780_SBC_CHRISTUS_Silver_2025_MC5578.pdf
 8/15/2024 10:28 AM       276871 98780_SBC_CHRISTUS_Silver_73_2025_MC5575.pdf
 8/15/2024 10:28 AM       298116 98780_SBC_CHRISTUS_Silver_87_2025_MC5576.pdf
 8/15/2024 10:28 AM       500970 98780_SBC_CHRISTUS_Silver_94_2025_MC5577.pdf
 8/15/2024 10:28 AM       253300 98780_SBC_CHRISTUS_Silver_Essential_2025_MC5582.pdf
 8/15/2024 10:28 AM       261028 98780_SBC_CHRISTUS_Silver_Essential_73_2025_MC5579.pdf
 8/15/2024 10:28 AM       498008 98780_SBC_CHRISTUS_Silver_Essential_87_2025_MC5580.pdf
 8/15/2024 10:28 AM       453755 98780_SBC_CHRISTUS_Silver_Essential_94_2025_MC5581.pdf
 8/15/2024 10:28 AM       262743 98780_SBC_CHRISTUS_Silver_Essential_Limited_2025_MC5583.pdf
 8/15/2024 10:28 AM       253586 98780_SBC_CHRISTUS_Silver_Essential_Plus_2025_MC5587.pdf
 8/15/2024 10:28 AM       261342 98780_SBC_CHRISTUS_Silver_Essential_Plus_73_2025_MC5584.pdf
 8/15/2024 10:28 AM       462656 98780_SBC_CHRISTUS_Silver_Essential_Plus_87_2025_MC5585.pdf
 8/15/2024 10:28 AM       461862 98780_SBC_CHRISTUS_Silver_Essential_Plus_94_2025_MC5586.pdf
 8/15/2024 10:28 AM       268972 98780_SBC_CHRISTUS_Silver_Essential_Plus_Limited_2025_MC5588.pdf
 8/15/2024 10:28 AM       265774 98780_SBC_CHRISTUS_Silver_Limited_2025_MC5589.pdf
 8/15/2024 10:28 AM       258757 98780_SBC_CHRISTUS_Silver_Plus_2025_MC5593.pdf
 8/15/2024 10:28 AM       261328 98780_SBC_CHRISTUS_Silver_Plus_73_2025_MC5590.pdf
 8/15/2024 10:28 AM       261452 98780_SBC_CHRISTUS_Silver_Plus_87_2025_MC5591.pdf
 8/15/2024 10:28 AM       460981 98780_SBC_CHRISTUS_Silver_Plus_94_2025_MC5592.pdf
 8/15/2024 10:28 AM       266092 98780_SBC_CHRISTUS_Silver_Plus_Limited_2025_MC5594.pdf
 8/15/2024 10:28 AM       466063 98780_SBC_CHRISTUS_Standard_Expanded_Bronze_2025_MC5595.pdf
 8/15/2024 10:28 AM       482588 98780_SBC_CHRISTUS_Standard_Expanded_Bronze_Limited_2025_MC5596.pdf
 8/15/2024 10:28 AM       466599 98780_SBC_CHRISTUS_Standard_Gold_2025_MC5597.pdf
 8/15/2024 10:28 AM       504980 98780_SBC_CHRISTUS_Standard_Gold_Limited_2025_MC5598.pdf
 8/15/2024 10:28 AM       465517 98780_SBC_CHRISTUS_Standard_Silver_2025_MC5602.pdf
 8/15/2024 10:28 AM       465847 98780_SBC_CHRISTUS_Standard_Silver_73_2025_MC5599.pdf
 8/15/2024 10:28 AM       466508 98780_SBC_CHRISTUS_Standard_Silver_87_2025_MC5600.pdf
 8/15/2024 10:28 AM       462456 98780_SBC_CHRISTUS_Standard_Silver_94_2025_MC5601.pdf
 8/15/2024 10:28 AM       482125 98780_SBC_CHRISTUS_Standard_Silver_Limited_2025_MC5603.pdf