2027 Traditional Level-Funded Plans Alliant Network 4C – $500/100%/$2000 4C – $750/100%/$2500 4C – $1000/80%/$6750 4C – $1500/85%/$5750 4C – $2000/90%/$5500 4C – $2250/100%/$2250 4C – $2500/80%/$5000 – $30 PCP 4C – $3000/90%/$5500 4C – $3500/70%/$8550 4C – $4000/70%/$8550 4C – $4500/80%/$8550 4C – $5000/80%/$8550 4C – $5500/90%/$8550 4C – $6000/95%/$8450 4C – $6500/95%/$8200 4C – $7000/95%/$8200 4C – $7000/70%/$8550 4C – $7550/90%/$8550 PHCS WRAP 4C – $500/100%/$2000 Plus 4C – $750/100%/$2500 Plus 4C – $1000/80%/$6750 Plus 4C – $1500/85%/$5750 Plus 4C – $2000/90%/$5500 Plus 4C – $2250/100%/$2250 Plus 4C – $2500/80%/$5000 – $30 PCP Plus 4C – $2500/80%/$5000 Plus Chiro 4C – $3000/90%/$5500 Plus 4C – $3500/70%/$8550 Plus 4C – $4000/70%/$8550 Plus 4C – $4500/80%/$8550 Plus 4C – $5000/80%/$8550 Plus 4C – $5500/90%/$8550 Plus 4C – $6000/95%/$8450 Plus 4C – $6500/95%/$8200 Plus 4C – $7000/95%/$8200 Plus 4C – $7000/70%/$8550 Plus 4C – $7550/90%/$8550 Plus 2027 High Deductible Level-Funded Plans – HSA Eligible Alliant Network 4C – HDHP $3400/100%/$3400 4C – HDHP $3400/80%/$7500 4C – HDHP $3400/70%/$4500 4C – HDHP $3500/60%/$5500 4C – HDHP $4000/70%/$7000 4C – HDHP $4000/70%/$8000 4C – HDHP $4500/100%/$4500 4C – HDHP $5000/100%/$5000 4C – HDHP $5000/80%/$7500 4C – HDHP $6000/100%/$6000 4C – HDHP $6250/70%/$6900 4C – HDHP $6900/100%/$6900 4C – HDHP $7000/100%/$7000 4C – HDHP $7500/100%/$7500 (FAMILY) 4C – HDHP $8000/100%/$8000 PHCS WRAP 4C – HDHP $4500/100%/$4500 Plus 4C – HDHP $3400/100%/$3400 Plus 4C – HDHP $3400/80%/$7500 Plus 4C – HDHP $3400/70%/$4500 Plus 4C – HDHP $3500/60%/$5500 Plus 4C – HDHP $4000/70%/$7000 Plus 4C – HDHP $4000/70%/$8000 Plus 4C – HDHP $5000/100%/$5000 Plus 4C – HDHP $5000/80%/$7500 Plus 4C – HDHP $6000/100%/$6000 Plus 4C – HDHP $6250/70%/$6900 Plus 4C – HDHP $6900/100%/$6900 Plus 4C – HDHP $7000/100%/$7000 Plus 4C – HDHP $7500/100%/$7500 Plus (FAMILY) 4C – HDHP $8000/100%/$8000 Plus 2027 High Deductible Level-Funded Plans – Non-HSA Eligible Alliant Network 4C – $2500/100%/$2500 4C – $1500/80%/$3250 4C – $3000/80%/$6000 4C – $3200/100%/$3200 4C – $3200/80%/$7500 4C – $3200/70%/$4500 4C – HDHP $3300/100%/$3300 4C – HDHP $3300/80%/$7500 4C – HDHP $3300/70%/$4500 PHCS WRAP 4C – $2500/100%/$2500 Plus 4C – $1500/80%/$3250 Plus 4C – $3000/80%/$6000 Plus 4C – $3200/100%/$3200 Plus 4C – $3200/80%/$7500 Plus 4C – $3200/70%/$4500 Plus 4C – HDHP $3300/100%/$3300 Plus 4C – HDHP $3300/80%/$7500 Plus 4C – HDHP $3300/70%/$4500 Plus 2027 New Level-Funded Plans Alliant Network 4C – $500/60%/$2500 4C – $1000/60%/$3500 4C – $1000/80%/$4000 4C – $1000/60%/$6000 4C – $2000/60%/$6500 4C – $2500/80%/$5000 – $35 PCP 4C – $2500/80%/$6500 4C – $3500/80%/$5500 4C – $3500/80%/$7000 4C – $4000/70%/$7000 4C – $4000/60%/$8000 4C – $4000/60%/$8150 4C – $4600/60%/$8550 4C – $5000/70%/$6500 4C – $5000/60%/$8000 4C – $7500/60%/$8500 4C – $8550/100%/$8550 4C – $9100/100%/$9100 PHCS WRAP 4C – $500/60%/$2500 Plus 4C – $1000/60%/$3500 Plus 4C – $1000/80%/$4000 Plus 4C – $1000/60%/$6000 Plus 4C – $2000/60%/$6500 Plus 4C – $2500/80%/$5000 – $35 PCP Plus 4C – $2500/80%/$6500 Plus 4C – $3500/80%/$5500 Plus 4C – $3500/80%/$7000 Plus 4C – $4000/70%/$7000 Plus 4C – $4000/60%/$8000 Plus 4C – $4000/60%/$8150 Plus 4C – $4600/60%/$8550 Plus 4C – $5000/70%/$6500 Plus 4C – $5000/60%/$8000 Plus 4C – $7500/60%/$8500 Plus 4C – $8550/100%/$8550 Plus 4C – $9100/100%/$9100 Plus
