Personal Blue Policies
Trust Plans – Purchased after September 23, 2010
Personal BluePlanSM 1 SE1
Personal BluePlan 2 SE1
Personal BlueSM Secure SE1
Personal Blue Basic SE1
Personal Blue High Deductible Health Plan SE1
Personal True BlueSM SE1
Interim Plans – Purchased or changed between March 23, 2010, and September 22, 2010
Personal BluePlanSM 12
Personal BluePlan 1 with Dental2
Personal BluePlan 1 Limited2
Personal BluePlan 1 Limited with Dental2
Personal BluePlan 22
Personal BluePlan 2 with Dental2
Personal BluePlan 2 Limited2
Personal BluePlan 2 Limited with Dental2
Personal BlueSM Secure2
Personal Blue Secure Limited2
Personal Blue Basic2
Personal Blue Basic Limited2
Personal Blue High Deductible Health Plan (HDHP)3
Personal True BlueSM 2
Personal True Blue Limited2
Grandfathered Plans – Purchased before March 23, 2010
Personal BlueSM Plans
Personal BluePlanSM 14
Personal BluePlan 1 with Dental4
Personal BluePlan 1 Limited4
Personal BluePlan 1 Limited with Dental4
Personal BluePlan 24
Personal BluePlan 2 with Dental4
Personal BluePlan 2 Limited4
Personal BluePlan 2 Limited with Dental4
Personal BluePlan 35
Personal BluePlan 3 with Dental5
Personal BluePlan 46
Personal BluePlan 4 with Dental6
Personal Blue Secure4
Personal Blue Secure Limited4
Personal Blue Basic4
Personal Blue Basic Limited4
Personal Blue High Deductible Health Plan (HDHP)7
Personal Blue HDHP Limited7
Personal True BlueSM 4
Personal True Blue Limited4
Mark IV Plans
Mark IV8
Mark IV 80-608
Mark IV 80-60 Core I8
Mark IV 80-60 Core II8
Mark IV 80-808
Mark IV 80-80 Core I8
Mark IV 80-80 Core II8
Insurance Guaranty Association Notice
Review the Insurance Guaranty Association Notice.
CAA Amendments
1 Trust Plans Individual (Non-Grandfathered)
2 Personal BlueSM Plans – Individual (Non-Grandfathered)
3 Personal Blue Plans HDHP (Non-Grandfathered)
4 Personal Blue Plans Individual (Grandfathered)
5 Personal Blue Plan 3 (Grandfathered)
6 Personal Blue Plan 4 (Grandfathered)
7 Personal Blue Plan HDHP MSA (Grandfathered)
8 Mark IV Plans