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

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 8/28/2026  9:17 AM       407578 98780_SOB_CHRISTUS_American_Indian_Zero_Cost_Sharing_2027.pdf
 8/28/2026  9:17 AM       424554 98780_SOB_CHRISTUS_American_Indian_Zero_Cost_Sharing_Plus_2027.pdf
 8/28/2026  9:17 AM       428634 98780_SOB_CHRISTUS_American_Indian_Zero_Cost_Sharing_Plus_Dental_Vision_Fitness_2027.pdf
 8/28/2026  9:17 AM       417967 98780_SOB_CHRISTUS_American_Indian_Zero_Cost_Sharing_Plus_Fitness_2027.pdf
 8/28/2026  9:17 AM       410150 98780_SOB_CHRISTUS_Bronze_Essential_2027.pdf
 8/28/2026  9:17 AM       419022 98780_SOB_CHRISTUS_Bronze_Essential_Limited_2027.pdf
 8/28/2026  9:17 AM       439423 98780_SOB_CHRISTUS_Bronze_Essential_Plus_2027.pdf
 8/28/2026  9:17 AM       433777 98780_SOB_CHRISTUS_Bronze_Essential_Plus_Limited_2027.pdf
 8/28/2026  9:17 AM       418511 98780_SOB_CHRISTUS_Gold_2027.pdf
 8/28/2026  9:17 AM       410883 98780_SOB_CHRISTUS_Gold_Essential_2027.pdf
 8/28/2026  9:17 AM       421352 98780_SOB_CHRISTUS_Gold_Essential_Limited_2027.pdf
 8/28/2026  9:17 AM       425731 98780_SOB_CHRISTUS_Gold_Essential_Plus_2027.pdf
 8/28/2026  9:17 AM       449754 98780_SOB_CHRISTUS_Gold_Essential_Plus_Limited_2027.pdf
 8/28/2026  9:17 AM       426428 98780_SOB_CHRISTUS_Gold_Limited_2027.pdf
 8/28/2026  9:17 AM       428495 98780_SOB_CHRISTUS_Gold_Plus_2027.pdf
 8/28/2026  9:17 AM       451970 98780_SOB_CHRISTUS_Gold_Plus_Limited_2027.pdf
 8/28/2026  9:17 AM       411255 98780_SOB_CHRISTUS_Silver_Essential_70_2027.pdf
 8/28/2026  9:17 AM       420218 98780_SOB_CHRISTUS_Silver_Essential_70_Limited_2027.pdf
 8/28/2026  9:17 AM       426547 98780_SOB_CHRISTUS_Silver_Essential_70_Plus_2027.pdf
 8/28/2026  9:17 AM       449785 98780_SOB_CHRISTUS_Silver_Essential_70_Plus_Limited_2027.pdf
 8/28/2026  9:17 AM       411739 98780_SOB_CHRISTUS_Silver_Essential_73_2027.pdf
 8/28/2026  9:17 AM       426693 98780_SOB_CHRISTUS_Silver_Essential_73_Plus_2027.pdf
 8/28/2026  9:17 AM       409527 98780_SOB_CHRISTUS_Silver_Essential_87_2027.pdf
 8/28/2026  9:17 AM       425134 98780_SOB_CHRISTUS_Silver_Essential_87_Plus_2027.pdf
 8/28/2026  9:17 AM       407573 98780_SOB_CHRISTUS_Silver_Essential_94_2027.pdf
 8/28/2026  9:17 AM       422500 98780_SOB_CHRISTUS_Silver_Essential_94_Plus_2027.pdf
 8/28/2026  9:17 AM       409258 98780_SOB_CHRISTUS_Standard_Expanded_Bronze_2027.pdf
 8/28/2026  9:17 AM       416746 98780_SOB_CHRISTUS_Standard_Expanded_Bronze_Limited_2027.pdf
 8/28/2026  9:17 AM       410809 98780_SOB_CHRISTUS_Standard_Gold_2027.pdf
 8/28/2026  9:17 AM       418796 98780_SOB_CHRISTUS_Standard_Gold_Limited_2027.pdf
 8/28/2026  9:17 AM       410599 98780_SOB_CHRISTUS_Standard_Silver_70_2027.pdf
 8/28/2026  9:17 AM       418647 98780_SOB_CHRISTUS_Standard_Silver_70_Limited_2027.pdf
 8/28/2026  9:17 AM       410697 98780_SOB_CHRISTUS_Standard_Silver_73_2027.pdf
 8/28/2026  9:17 AM       410765 98780_SOB_CHRISTUS_Standard_Silver_87_2027.pdf
 8/28/2026  9:17 AM       408059 98780_SOB_CHRISTUS_Standard_Silver_94_2027.pdf
 8/28/2026  9:17 AM       408221 98780_SOB_CHRISTUS_Value_Bronze_2027.pdf
 8/28/2026  9:17 AM       430459 98780_SOB_CHRISTUS_Value_Bronze_Limited_2027.pdf
 8/28/2026  9:17 AM       433799 98780_SOB_CHRISTUS_Value_Bronze_Plus_2027.pdf
 8/28/2026  9:17 AM       443277 98780_SOB_CHRISTUS_Value_Bronze_Plus_Limited_2027.pdf
 8/28/2026  9:17 AM       406134 98780_SOB_CHRISTUS_Value_Silver_70_2027.pdf
 8/28/2026  9:17 AM       430009 98780_SOB_CHRISTUS_Value_Silver_70_Limited_2027.pdf
 8/28/2026  9:17 AM       435546 98780_SOB_CHRISTUS_Value_Silver_70_Plus_2027.pdf
 8/28/2026  9:17 AM       444992 98780_SOB_CHRISTUS_Value_Silver_70_Plus_Limited_2027.pdf
 8/28/2026  9:17 AM       406151 98780_SOB_CHRISTUS_Value_Silver_73_2027.pdf
 8/28/2026  9:17 AM       435521 98780_SOB_CHRISTUS_Value_Silver_73_Plus_2027.pdf
 8/28/2026  9:17 AM       404304 98780_SOB_CHRISTUS_Value_Silver_87_2027.pdf
 8/28/2026  9:17 AM       433742 98780_SOB_CHRISTUS_Value_Silver_87_Plus_2027.pdf
 8/28/2026  9:17 AM       408683 98780_SOB_CHRISTUS_Value_Silver_94_2027.pdf
 8/28/2026  9:17 AM       423011 98780_SOB_CHRISTUS_Value_Silver_94_Plus_2027.pdf