Schedule of Benefits and Coverage Matrix (SOBM) for Employer Group

The Schedule of Benefits and Coverage Matrix (SOBM) can be used to help you compare coverage benefits and is a summary only. The Evidence of Coverage (EOC) and Plan contract should be consulted for a detailed description of coverage benefits and limitations.
2025
English Version
Schedule of Benefits and Coverage Matrix (SOBM) for Large Group Non IHSS (County) 2025
Schedule of Benefits and Coverage Matrix (SOBM) for Large Group IHSS 2025
Schedule of Benefits and Coverage Matrix (SOBM) for Small Group 2025
Versión En Español
Matriz del programa de beneficios y cobertura 2025: Large Group Non IHSS (County)
Matriz del programa de beneficios y cobertura 2025: Large Group IHSS
Matriz del programa de beneficios y cobertura 2025: Small Group
Phiên Bản Tiếng Việt
2025 Bả ng Quyền Lợi và Mức Bao Trả: Large Group Non IHSS (County)
2025 Bả ng Quyền Lợi và Mức Bao Trả: Large Group IHSS
2025 Bả ng Quyền Lợi và Mức Bao Trả: Small Group
中文版
2025 保 障福利表 & 承保范 围矩阵表:Large Group Non IHSS (County)