Employer Group Benefit Plan Information
New and Renewing Business
New Business
Capital Health Plan offers employer-sponsored benefit plans to both large and small employer groups located in the CHP service area. Available benefit plans vary depending on the group size. Employer groups with 50 employees or less are considered to be a Small Employer Group, whereas those with 51 or more employees are considered to be a Large Employer Group.
CHP will determine which category the employer group is in based on the total average number of employees a group had during the preceding calendar year. This includes full-time, part-time, and seasonal employees.
Renewing Business
Capital Health Plan will mail the group a renewal packet at least 45 days before the Employer Group’s renewal date. This packet will include information regarding rates and benefit plans, along with instructions for completing the renewal. Your agent copy will be placed on your account via CHPConnect.
Large Employer Group Benefit Plans
For our Large Employer Groups, Capital Health Plan has developed rich benefit plan options that focus on the delivery of evidence-based medical care under the direction of primary care physicians in an effective, timely, and cost-effective manner. To review these plans, download our side-by-side comparison of the 2025 Large Employer Group plans.
We ask that agents contact the Capital Health Plan Sales Team to discuss the benefit plan options that are available to your clients.
| Plan Name | For Plans Starting 1/1/24 | For Plans Starting 1/1/25 |
|---|---|---|
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Capital Selection 153050 |
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Capital Selection 153050 + 20% ER |
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Capital Selection 1550100 |
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Capital Selection 1550100 + 20% ER |
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CHP High Deductible HMO (HSA Compatible) |
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Primary Selection 6 Tier Rx |
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Principal Choice 1550100 |
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Principal Choice 1550100 + 25% ER |
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Quality Choice 1550100 |
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Quality Choice 1550100 + 25% ER |
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Value Selection HDHP (not HSA Qualified) |
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Uniform Glossary |
Small Employer Group Benefit Plans
For our Small Employer Groups, Capital Health Plan offers three Affordable Care Act (ACA)-compliant benefit plans. To review these plans, download our side-by-side comparison of the 2025 Small Employer Group plans.
We ask that agents contact the Capital Health Plan Sales Team to discuss the benefit plan options that are available to your clients.
| Plan Name | For Plans Starting 1/1/24 | For Plans Starting 1/1/25 |
|---|---|---|
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3101 – Platinum 153050 |
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3102 – Platinum 204060 |
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3104 – Gold 2065100 |
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3107 – Gold 6 Tier Rx |
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3108 – Silver |
N/A |
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Basic Option I 1050100 |
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Basic Option II 1050100 |
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Essential Selection 153050 |
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Standard Option I 103050 |
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Tiered PCP 153050 |
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Tiered PCP No Rx |
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Uniform Glossary |