chppayment.christushealth.org - /documents/2027/HIX/LA_SBC/

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 8/28/2026  9:16 AM       575732 98780_SBC_CHRISTUS_American_Indian_Zero_Cost_Sharing_2027.pdf
 8/28/2026  9:16 AM       577597 98780_SBC_CHRISTUS_American_Indian_Zero_Cost_Sharing_Plus_2027.pdf
 8/28/2026  9:16 AM       576225 98780_SBC_CHRISTUS_American_Indian_Zero_Cost_Sharing_Plus_Dental_Vision_Fitness_2027.pdf
 8/28/2026  9:16 AM       576896 98780_SBC_CHRISTUS_American_Indian_Zero_Cost_Sharing_Plus_Fitness_2027.pdf
 8/28/2026  9:16 AM       592680 98780_SBC_CHRISTUS_Bronze_Essential_2027.pdf
 8/28/2026  9:16 AM       626143 98780_SBC_CHRISTUS_Bronze_Essential_Limited_2027.pdf
 8/28/2026  9:16 AM       592008 98780_SBC_CHRISTUS_Bronze_Essential_Plus_2027.pdf
 8/28/2026  9:16 AM       627200 98780_SBC_CHRISTUS_Bronze_Essential_Plus_Limited_2027.pdf
 8/28/2026  9:17 AM       580200 98780_SBC_CHRISTUS_Gold_2027.pdf
 8/28/2026  9:17 AM       591878 98780_SBC_CHRISTUS_Gold_Essential_2027.pdf
 8/28/2026  9:17 AM       626612 98780_SBC_CHRISTUS_Gold_Essential_Limited_2027.pdf
 8/28/2026  9:17 AM       592743 98780_SBC_CHRISTUS_Gold_Essential_Plus_2027.pdf
 8/28/2026  9:17 AM       625955 98780_SBC_CHRISTUS_Gold_Essential_Plus_Limited_2027.pdf
 8/28/2026  9:17 AM       620620 98780_SBC_CHRISTUS_Gold_Limited_2027.pdf
 8/28/2026  9:17 AM       579620 98780_SBC_CHRISTUS_Gold_Plus_2027.pdf
 8/28/2026  9:17 AM       614594 98780_SBC_CHRISTUS_Gold_Plus_Limited_2027.pdf
 8/28/2026  9:17 AM       596318 98780_SBC_CHRISTUS_Silver_Essential_70_2027.pdf
 8/28/2026  9:17 AM       630655 98780_SBC_CHRISTUS_Silver_Essential_70_Limited_2027.pdf
 8/28/2026  9:17 AM       582876 98780_SBC_CHRISTUS_Silver_Essential_70_Plus_2027.pdf
 8/28/2026  9:17 AM       623829 98780_SBC_CHRISTUS_Silver_Essential_70_Plus_Limited_2027.pdf
 8/28/2026  9:17 AM       588630 98780_SBC_CHRISTUS_Silver_Essential_73_2027.pdf
 8/28/2026  9:17 AM       589132 98780_SBC_CHRISTUS_Silver_Essential_73_Plus_2027.pdf
 8/28/2026  9:17 AM       587649 98780_SBC_CHRISTUS_Silver_Essential_87_2027.pdf
 8/28/2026  9:17 AM       583395 98780_SBC_CHRISTUS_Silver_Essential_87_Plus_2027.pdf
 8/28/2026  9:17 AM       585226 98780_SBC_CHRISTUS_Silver_Essential_94_2027.pdf
 8/28/2026  9:17 AM       579929 98780_SBC_CHRISTUS_Silver_Essential_94_Plus_2027.pdf
 8/28/2026  9:17 AM       590684 98780_SBC_CHRISTUS_Standard_Expanded_Bronze_2027.pdf
 8/28/2026  9:17 AM       624856 98780_SBC_CHRISTUS_Standard_Expanded_Bronze_Limited_2027.pdf
 8/28/2026  9:17 AM       593165 98780_SBC_CHRISTUS_Standard_Gold_2027.pdf
 8/28/2026  9:17 AM       626507 98780_SBC_CHRISTUS_Standard_Gold_Limited_2027.pdf
 8/28/2026  9:17 AM       592782 98780_SBC_CHRISTUS_Standard_Silver_70_2027.pdf
 8/28/2026  9:17 AM       625370 98780_SBC_CHRISTUS_Standard_Silver_70_Limited_2027.pdf
 8/28/2026  9:17 AM       592900 98780_SBC_CHRISTUS_Standard_Silver_73_2027.pdf
 8/28/2026  9:17 AM       593053 98780_SBC_CHRISTUS_Standard_Silver_87_2027.pdf
 8/28/2026  9:17 AM       582298 98780_SBC_CHRISTUS_Standard_Silver_94_2027.pdf
 8/28/2026  9:17 AM       576992 98780_SBC_CHRISTUS_Value_Bronze_2027.pdf
 8/28/2026  9:17 AM       613006 98780_SBC_CHRISTUS_Value_Bronze_Limited_2027.pdf
 8/28/2026  9:17 AM       577621 98780_SBC_CHRISTUS_Value_Bronze_Plus_2027.pdf
 8/28/2026  9:17 AM       613736 98780_SBC_CHRISTUS_Value_Bronze_Plus_Limited_2027.pdf
 8/28/2026  9:17 AM       581591 98780_SBC_CHRISTUS_Value_Silver_70_2027.pdf
 8/28/2026  9:17 AM       610617 98780_SBC_CHRISTUS_Value_Silver_70_Limited_2027.pdf
 8/28/2026  9:17 AM       580940 98780_SBC_CHRISTUS_Value_Silver_70_Plus_2027.pdf
 8/28/2026  9:17 AM       610388 98780_SBC_CHRISTUS_Value_Silver_70_Plus_Limited_2027.pdf
 8/28/2026  9:17 AM       575122 98780_SBC_CHRISTUS_Value_Silver_73_2027.pdf
 8/28/2026  9:17 AM       574390 98780_SBC_CHRISTUS_Value_Silver_73_Plus_2027.pdf
 8/28/2026  9:17 AM       575288 98780_SBC_CHRISTUS_Value_Silver_87_2027.pdf
 8/28/2026  9:17 AM       574489 98780_SBC_CHRISTUS_Value_Silver_87_Plus_2027.pdf
 8/28/2026  9:17 AM       575238 98780_SBC_CHRISTUS_Value_Silver_94_2027.pdf
 8/28/2026  9:17 AM       574459 98780_SBC_CHRISTUS_Value_Silver_94_Plus_2027.pdf