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Golden Rule Platinum Health Insurance in COLORADO – Health Plan Options

Golden Rule Platinum — 30 Copayment Plan

A comparison of the 30 Copayment Plan offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Primary Care- $30 per office visit Specialist Care- $40 per office visit	Primary Care- $30 per office visit Specialist Care- $40 per office visit
Copay	Primary Care- $30 per visit Specialty Care- $40 per visit	Primary Care- $30 per visit Specialty Care- $40 per visit
Deductible	N/A	N/A

Golden Rule Platinum — 35 Copayment Plan w/Rx

A comparison of the 35 Copayment Plan w/Rx offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Primary Care- $35 per primary office visit Specialist Care- $50 per office visit	Primary Care- $35 per primary office visit Specialist Care- $50 per office visit
Copay	Primary care- $35 per visit Specialty care- $50 per visit	Primary care- $35 per visit Specialty care- $50 per visit
Deductible	N/A	N/A

Golden Rule Platinum — 40 Copayment Plan w/Rx

A comparison of the 40 Copayment Plan w/Rx offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Primary Care- $40 per office visit Specialist Care- $60 per office visit	Primary Care- $40 per office visit Specialist Care- $60 per office visit
Copay	Primary Care- $40 per visit Specialty Care- $60 per visit	Primary Care- $40 per visit Specialty Care- $60 per visit
Deductible	N/A	N/A

Golden Rule Platinum — 2000 Deductible Plan (70%)

A comparison of the 2000 Deductible Plan (70%) offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70%	70%
Office Visit	Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)	Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)
Copay	Primary Care- $30 per visit Specialist Care- $50 per visit	Primary Care- $30 per visit Specialist Care- $50 per visit
Deductible	$2,000 Individual / $6,000 Family	$2,000 Individual / $6,000 Family

Golden Rule Platinum — 5000 Deductible Plan (70%)

A comparison of the 5000 Deductible Plan (70%) offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70%	70%
Office Visit	li> Primary Care- $30 per office visit(not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)	li> Primary Care- $30 per office visit(not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)
Copay	Primary Care- $30 per visit Specialty care- $50 per visit	Primary Care- $30 per visit Specialty care- $50 per visit
Deductible	see brochure	see brochure

Golden Rule Platinum — 2000 Deductible Plan (70%) w/Rx

A comparison of the 2000 Deductible Plan (70%) w/Rx offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70%	70%
Office Visit	Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)	Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)
Copay	Primary Care- $30 per visit Specialist Care- $50 per visit	Primary Care- $30 per visit Specialist Care- $50 per visit
Deductible	$2,000 Individual / $6,000 Family	$2,000 Individual / $6,000 Family

Golden Rule Platinum — 3000 Deductible Plan (70%) w/Rx

A comparison of the 3000 Deductible Plan (70%) w/Rx offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70%	70%
Office Visit	li> Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)	li> Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)
Copay	Primary Care- $30 per visit Specialist Care- $50 per visit	Primary Care- $30 per visit Specialist Care- $50 per visit
Deductible	$3,000 Individual / $9,000 Family	$3,000 Individual / $9,000 Family

Golden Rule Platinum — 1000 Deductible Plan (80%) w/Rx

A comparison of the 1000 Deductible Plan (80%) w/Rx offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	li> Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)	li> Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit (not subject to deductible)
Copay	Primary Care- $30 per visit Specialist Care- $50 per visit	Primary Care- $30 per visit Specialist Care- $50 per visit
Deductible	$1,000 Individual / $3,000 Family	$1,000 Individual / $3,000 Family

Golden Rule Platinum — 1500 Deductible Plan (80%) w/Rx

A comparison of the 1500 Deductible Plan (80%) w/Rx offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit(not subject to deductible)	Primary Care- $30 per office visit (not subject to deductible) Specialist Care- $50 per office visit(not subject to deductible)
Copay	Primary Care- $30 per visit Specialist Care- $50 per visit	Primary Care- $30 per visit Specialist Care- $50 per visit
Deductible	$1,500 Individual / $4,500 Family	$1,500 Individual / $4,500 Family

Golden Rule Platinum — 2000 HSA-Qualified Deductible Plan (80%)

A comparison of the 2000 HSA-Qualified Deductible Plan (80%) offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Primary Care- 80% coinsurance per office visit after deductible is met Specialist Care- 80% coinsurance per office visit after deductible is met	Primary Care- 80% coinsurance per office visit after deductible is met Specialist Care- 80% coinsurance per office visit after deductible is met
Copay	Primary Care- 80% coinsurance per visit after deductible is met Specialist Care- 80% coinsurance per visit after deductible is met	Primary Care- 80% coinsurance per visit after deductible is met Specialist Care- 80% coinsurance per visit after deductible is met
Deductible	$2,000 Individual / $4,000 Family	$2,000 Individual / $4,000 Family

Golden Rule Platinum — 2000 HSA-Qualified Deductible Plan (100%)

A comparison of the 2000 HSA-Qualified Deductible Plan (100%) offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	No Chare per visit after deductible is met	No Chare per visit after deductible is met
Copay	No charge per visit after deductible is met	No charge per visit after deductible is met
Deductible	$2,000 Individual / $4,000 Family	$2,000 Individual / $4,000 Family

Golden Rule Platinum — 2500 HSA-Qualified Deductible Plan (100%)

A comparison of the 2500 HSA-Qualified Deductible Plan (100%) offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	No Charge after deductible is met	No Charge after deductible is met
Copay	No Charge per visit after deductible is met	No Charge per visit after deductible is met
Deductible	$2,500 Individual / $5,000 Family	$2,500 Individual / $5,000 Family

Golden Rule Platinum — 3000 HSA-Qualified Deductible Plan (100%)

A comparison of the 3000 HSA-Qualified Deductible Plan (100%) offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	No Charge per visit after deductible is met	No Charge per visit after deductible is met
Copay	No Charge per visit after deductible is met	No Charge per visit after deductible is met
Deductible	$3,000 Individual / $6,000 Family	$3,000 Individual / $6,000 Family

Golden Rule Platinum — 4000 HSA-Qualified Deductible Plan (100%)

A comparison of the 4000 HSA-Qualified Deductible Plan (100%) offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	No Charge per visit after deductible is met	No Charge per visit after deductible is met
Copay	No Charge per visit after deductible is met	No Charge per visit after deductible is met
Deductible	$4,000 Individual / $8,000 Family	$4,000 Individual / $8,000 Family

Golden Rule Platinum — 5000 HSA-Qualified Deductible Plan (100%)

A comparison of the 5000 HSA-Qualified Deductible Plan (100%) offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	No Charge per visit after deductible is met	No Charge per visit after deductible is met
Copay	No Charge per visit after deductible is met	No Charge per visit after deductible is met
Deductible	$5,000 Individual / $10,000 Family	$5,000 Individual / $10,000 Family

Golden Rule Platinum — 5000 Deductible Plan (60%) w/Rx Children's Plan

A comparison of the 5000 Deductible Plan (60%) w/Rx Children's Plan offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	60%	60%
Office Visit	Routine medical office visits: Primary Care- $10 per office visit Specialist- $40 per office visit	Routine medical office visits: Primary Care- $10 per office visit Specialist- $40 per office visit
Copay	Primary Care- $10 per office visit Specialist- $40 per office visit	Primary Care- $10 per office visit Specialist- $40 per office visit
Deductible	$5,000 Individual	$5,000 Individual

Golden Rule Platinum — Managed Choice Open Access 1000

A comparison of the Managed Choice Open Access 1000 offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)	50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $20 copay, deductible waived (Unlimited visits); Specialist Visit: $30 copay, deductible waived (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $20 copay, deductible waived (Unlimited visits); Specialist Visit: $30 copay, deductible waived (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $1,000; Family: $2,000	Individual: $2,000; Family: $4,000

Golden Rule Platinum — Managed Choice Open Access 1000 with Dental

A comparison of the Managed Choice Open Access 1000 with Dental offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)	50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $20 copay, deductible waived (Unlimited visits); Specialist Visit: $30 copay, deductible waived (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $20 copay, deductible waived (Unlimited visits); Specialist Visit: $30 copay, deductible waived (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $1,000; Family: $2,000	Individual: $2,000; Family: $4,000

Golden Rule Platinum — Managed Choice Open Access 1500

A comparison of the Managed Choice Open Access 1500 offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)	50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay, deductible waived (Unlimited visits); Specialist Visit: $35 copay, deductible waived (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 70% after deductible (Unlimited visits); Specialist Visit: 70% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay, deductible waived (Unlimited visits); Specialist Visit: $35 copay, deductible waived (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 70% after deductible (Unlimited visits); Specialist Visit: 70% after deductible (Unlimited visits)
Deductible	Individual: $1,500, Family: $3,000	Individual: $3,000, Family: $6,000

Golden Rule Platinum — Managed Choice Open Access 1500 with Dental

A comparison of the Managed Choice Open Access 1500 with Dental offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)	50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay, deductible waived (Unlimited visits); Specialist Visit: $35 copay, deductible waived (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay, deductible waived (Unlimited visits); Specialist Visit: $35 copay, deductible waived (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $1,500, Family: $3,000	Individual: $3,000, Family: $6,000

Golden Rule Platinum — Managed Choice Open Access 1500 with Medical $50K CYM

A comparison of the Managed Choice Open Access 1500 with Medical $50K CYM offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible ($0 once out-of-pocket max. is satisfied)	50% after deductible ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay (Unlimited visits); Specialist Visit: $50 copay (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay (Unlimited visits); Specialist Visit: $50 copay (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $1,500, Family: $3,000	Individual: $3,000, Family: $6,000

Golden Rule Platinum — Managed Choice Open Access 1500 with Medical $50K CYM with Dental

A comparison of the Managed Choice Open Access 1500 with Medical $50K CYM with Dental offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible ($0 once out-of-pocket max. is satisfied)	50% after deductible ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay (Unlimited visits); Specialist Visit: $50 copay (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay (Unlimited visits); Specialist Visit: $50 copay (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $1,500, Family: $3,000	Individual: $3,000, Family: $6,00

Golden Rule Platinum — Managed Choice Open Access 2500

A comparison of the Managed Choice Open Access 2500 offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)	50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $30 copay, deductible waived (Unlimited visits); Specialist Visit: $40 copay, deductible waived (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $30 copay, deductible waived (Unlimited visits); Specialist Visit: $40 copay, deductible waived (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000

Golden Rule Platinum — Managed Choice Open Access 2500 with Dental

A comparison of the Managed Choice Open Access 2500 with Dental offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.	60% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.
Office Visit	Non-Specialist Office Visit: $30 copay deductible waived (Unlimited Visits), Specialist Visit: $40 copay deductible waived (Unlimited Visits)	Non-specialist Office Visit: 70% after deductible, Specialist Visit: 70% after deductible
Copay	Non-Specialist Office Visit: $30 copay deductible waived (Unlimited Visits), Specialist Visit: $40 copay deductible waived (Unlimited Visits)	Non-specialist Office Visit: 70% after deductible, Specialist Visit: 70% after deductiblemited visits)
Deductible	Individual: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000

Golden Rule Platinum — Managed Choice Open Access 2500 with Medical $50K CYM

A comparison of the Managed Choice Open Access 2500 with Medical $50K CYM offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible ($0 once out-of-pocket max. is satisfied)	50% after deductible ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay (Unlimited visits); Specialist Visit: $50 copay (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay (Unlimited visits); Specialist Visit: $50 copay (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000

Golden Rule Platinum — Managed Choice Open Access 2500 with Medical $50K CYM with Dental

A comparison of the Managed Choice Open Access 2500 with Medical $50K CYM with Dental offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible ($0 once out-of-pocket max. is satisfied)	50% after deductible ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay (Unlimited visits); Specialist Visit: $50 copay (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay (Unlimited visits); Specialist Visit: $50 copay (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000

Golden Rule Platinum — Managed Choice Open Access 5000

A comparison of the Managed Choice Open Access 5000 offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.	60% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.
Office Visit	Non-Specialist Office Visit: $40 copay deductible waived (Unlimited visits), Specialist Visit: $50 copay deductible waived (Unlimited visits)	Non-specialist Office Visit: 70% after deductible (Unlimited visits), Specialist Visit: 70% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit: $40 copay deductible waived (Unlimited visits), Specialist Visit: $50 copay deductible waived (Unlimited visits)	Non-specialist Office Visit: 70% after deductible (Unlimited visits), Specialist Visit: 70% after deductible (Unlimited visits)
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Golden Rule Platinum — Managed Choice Open Access 5000 with Dental

A comparison of the Managed Choice Open Access 5000 with Dental offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.	60% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.
Office Visit	Non-Specialist Office Visit: $40 copay deductible waived (Unlimited visits), Specialist Visit: $50 copay deductible waived (Unlimited visits)	Non-specialist Office Visit: 70% after deductible (Unlimited visits), Specialist Visit: 70% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit: $40 copay deductible waived (Unlimited visits), Specialist Visit: $50 copay deductible waived (Unlimited visits)Unlimited visits)	Non-specialist Office Visit: 70% after deductible (Unlimited visits), Specialist Visit: 70% after deductible (Unlimited visits)
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Golden Rule Platinum — Managed Choice Open Access 750 with Medical $50K CYM

A comparison of the Managed Choice Open Access 750 with Medical $50K CYM offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible, $0 once out-of-pocket max is satisfied.	50% after deductible, $0 once out-of-pocket max is satisfied.
Office Visit	Non-Specialist Office Visit: $25 copay, Specialist Visit: $45 copay.	Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible.
Copay	Non-Specialist Office Visit: $25 copay, Specialist Visit: $45 copay.	Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible.
Deductible	Individual: $750, Family: $1,500	Individual: $1,500, Family: $3,000

Golden Rule Platinum — Managed Choice Open Access 750 with Medical $50K CYM with Dental

A comparison of the Managed Choice Open Access 750 with Medical $50K CYM with Dental offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible ($0 once out-of-pocket max. is satisfied)	50% after deductible ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay (Unlimited visits); Specialist Visit: $50 copay (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay (Unlimited visits); Specialist Visit: $50 copay (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $750, Family: $1,500	Individual: $1,500, Family: $3,000

Golden Rule Platinum — Managed Choice Open Access 7500 with Unlimited Primary Care Visits plus Dental

A comparison of the Managed Choice Open Access 7500 with Unlimited Primary Care Visits plus Dental offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible ($0 once out-of-pocket max. is satisfied)	50% after deductible ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $30 copay, deductible waived (Unlimited visits); Specialist Visit: 80% after deductible (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $30 copay, deductible waived (Unlimited visits); Specialist Visit: 80% after deductible (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $7,500, Family: $15,000	Individual: $10,000, Family: $20,000

Golden Rule Platinum — Managed Choice Open Access First Dollar 25

A comparison of the Managed Choice Open Access First Dollar 25 offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	75% up to out of pocket max. $0 once out of pocket max. is satisfied.	50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.
Office Visit	Non-Specialist Office Visit- $25 copay, Specialist Visit- $35 copay	Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay	Non-Specialist Office Visit- $25 copay, Specialist Visit- $35 copay	Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible	Individual: $0, Family: $0	Individual: $5,000, Family: $10,000

Golden Rule Platinum — Managed Choice Open Access First Dollar 25 with Dental

A comparison of the Managed Choice Open Access First Dollar 25 with Dental offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	75% up to out of pocket max. $0 once out of pocket max. is satisfied.	50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.
Office Visit	Non-Specialist Office Visit- $25 copay, Specialist Visit- $35 copay	Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay	Non-Specialist Office Visit- $25 copay, Specialist Visit- $35 copay	Non-Specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible	Individual: $0, Family: $0	Individual: $5,000, Family: $10,000

Golden Rule Platinum — Managed Choice Open Access High Deductible 3000 (HSA Compatible)

A comparison of the Managed Choice Open Access High Deductible 3000 (HSA Compatible) offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.	70% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.
Office Visit	Non-Specialist Office Visit: 100% after deductible (Unlimited Visits), Specialist Visit: 100% after deductible (Unlimited Visits)	Non-specialist Office Visit: 70% after deductible (Unlimited Visits), Specialist Visit: 70% after deductible (Unlimited Visits)
Copay	Non-Specialist Office Visit: 100% after deductible (Unlimited Visits), Specialist Visit: 100% after deductible (Unlimited Visits)	Non-specialist Office Visit: 70% after deductible (Unlimited Visits), Specialist Visit: 70% after deductible (Unlimited Visits)
Deductible	Individual: $3,000, Family: $6,000	Individual: $6,000, Family: $12,000

Golden Rule Platinum — Managed Choice Open Access High Deductible 3000 (HSA Compatible) with Dental

A comparison of the Managed Choice Open Access High Deductible 3000 (HSA Compatible) with Dental offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.	50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.
Office Visit	Non-Specialist Office Visit: 100% after deductible (Unlimited Visits), Specialist Visit: 100% after deductible (Unlimited Visits)	Non-Specialist Office Visit: 50% after deductible (Unlimited Visits), Specialist Visit: 50% after deductible (Unlimited Visits)
Copay	Non-Specialist Office Visit: 100% after deductible (Unlimited Visits), Specialist Visit: 100% after deductible (Unlimited Visits)	Non-Specialist Office Visit: 50% after deductible (Unlimited Visits), Specialist Visit: 50% after deductible (Unlimited Visits)
Deductible	Individual: $3,000, Family: $6,000	Individual: $6,000, Family: $12,000

Golden Rule Platinum — Managed Choice Open Access High Deductible 5000 (HSA Compatible)

A comparison of the Managed Choice Open Access High Deductible 5000 (HSA Compatible) offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.	50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.
Office Visit	Non-Specialist Office Visit: 100% after deductible (Unlimited visits), Specialist Visit: 100% after deductible (Unlimited visits)	Non-Specialist Office Visit: 50% after deductible (Unlimited Visits), Specialist Visit: 50% after deductible (Unlimited Visits)
Copay	Non-Specialist Office Visit: 100% after deductible (Unlimited visits), Specialist Visit: 100% after deductible (Unlimited visits)	Non-Specialist Office Visit: 50% after deductible (Unlimited Visits), Specialist Visit: 50% after deductible (Unlimited Visits)
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Golden Rule Platinum — Managed Choice Open Access High Deductible 5000 (HSA Compatible) with Dental

A comparison of the Managed Choice Open Access High Deductible 5000 (HSA Compatible) with Dental offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.	50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.
Office Visit	Non-Specialist Office Visit: 100% after deductible (Unlimited visits), Specialist Visit: 100% after deductible (Unlimited visits)	Non-Specialist Office Visit: 50% after deductible (Unlimited Visits), Specialist Visit: 50% after deductible (Unlimited Visits)Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 70% after deductible (Unlimited visits); Specialis
Copay	Non-Specialist Office Visit: 100% after deductible (Unlimited visits), Specialist Visit: 100% after deductible (Unlimited visits)	Non-Specialist Office Visit: 50% after deductible (Unlimited Visits), Specialist Visit: 50% after deductible (Unlimited Visits)
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Golden Rule Platinum — Managed Choice Open Access Value 2500

A comparison of the Managed Choice Open Access Value 2500 offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)	50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-2 $30 copay, deductible waived. Visit 3+ 70% after deductible (Unlimited visits); Specialist Visit: Visit 1-2 $30 copay, deductible waived. Visit 3+ 70% after deductible (Unlimited visits). Specialist and Non-Specialist share visit max.	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-2 $30 copay, deductible waived. Visit 3+ 70% after deductible (Unlimited visits); Specialist Visit: Visit 1-2 $30 copay, deductible waived. Visit 3+ 70% after deductible (Unlimited visits). Specialist and Non-Specialist share visit max.	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $2,500, Family: $5,000	Individual: $3,000; Family: $6,000

Golden Rule Platinum — Managed Choice Open Access Value 2500 with Dental

A comparison of the Managed Choice Open Access Value 2500 with Dental offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)	50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-2 $30 copay, deductible waived. Visit 3+ 70% after deductible (Unlimited visits); Specialist Visit: Visit 1-2 $30 copay, deductible waived. Visit 3+ 70% after deductible (Unlimited visits). Specialist and Non-Specialist share visit max.	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-2 $30 copay, deductible waived. Visit 3+ 70% after deductible (Unlimited visits); Specialist Visit: Visit 1-2 $30 copay, deductible waived. Visit 3+ 70% after deductible (Unlimited visits). Specialist and Non-Specialist share visit max.	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $2,500, Family: $5,000	Individual: $3,000; Family: $6,000

Golden Rule Platinum — Managed Choice Open Access Value 5000

A comparison of the Managed Choice Open Access Value 5000 offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)	50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-2 $30 copay, deductible waived. Visit 3+ 70% after deductible (Unlimited visits); Specialist Visit: Visit 1-2 $30 copay, deductible waived. Visit 3+ 70% after deductible (Unlimited visits). Specialist and Non-Specialist share visit max.	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-2 $30 copay, deductible waived. Visit 3+ 70% after deductible (Unlimited visits); Specialist Visit: Visit 1-2 $30 copay, deductible waived. Visit 3+ 70% after deductible (Unlimited visits). Specialist and Non-Specialist share visit max.	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Golden Rule Platinum — Managed Choice Open Access Value 5000 with Dental

A comparison of the Managed Choice Open Access Value 5000 with Dental offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.	60% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.
Office Visit	Non-Specialist Visits 1-6 $40 copay, ded. Waived; Visits 7+ 70% after ded. Specialist Visits 1-6 $50 copay, ded. Waived; Visits 7+ 70% after ded. Specialist and Non-Specialist share visit max.	Non-Specialist: 70% after deductible (Unlimited visits), Specialist: 70% after deductible (Unlimited visits)
Copay	Non-Specialist Visits 1-6 $40 copay, ded. Waived; Visits 7+ 70% after ded. Specialist Visits 1-6 $50 copay, ded. Waived; Visits 7+ 70% after ded. Specialist and Non-Specialist share visit max.	Non-Specialist: 70% after deductible (Unlimited visits), Specialist: 70% after deductible (Unlimited visits)
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Golden Rule Platinum — Preventative and Hospital Care 1250

A comparison of the Preventative and Hospital Care 1250 offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Not Covered	Not Covered
Copay	Not Covered	Not Covered
Deductible	Individual: $1,250 Family: $2,500	Individual: $2,500, Family: $5,000

Golden Rule Platinum — Preventative and Hospital Care 1250 with Dental

A comparison of the Preventative and Hospital Care 1250 with Dental offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Not Covered	Not Covered
Copay	Not Covered	Not Covered
Deductible	Individual: $1,250 Family: $2,500	Individual: $2,500, Family: $5,000

Golden Rule Platinum — Preventative and Hospital Care 3000 (HSA Compatible)

A comparison of the Preventative and Hospital Care 3000 (HSA Compatible) offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Not Covered	Not Covered
Copay	Not Covered	Not Covered
Deductible	Individual: $3,000, Family: $6,000	Individual: $6,000, Family: $12,000

Golden Rule Platinum — Preventative and Hospital Care 3000 (HSA Compatible) with Dental

A comparison of the Preventative and Hospital Care 3000 (HSA Compatible) with Dental offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Not Covered	Not Covered
Copay	Not Covered	Not Covered
Deductible	Individual: $3,000, Family: $6,000	Individual: $6,000, Family: $12,000

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$1,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$7,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the The Edge HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	None	None
Deductible	$2,000	see brochure

Golden Rule Platinum — The Edge HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the The Edge HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	None	None
Deductible	$2,850	see brochure

Golden Rule Platinum — The Edge HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the The Edge HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	None	None
Deductible	$5,500	$11,000

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$7,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$1,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$7,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$7,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$7,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$7,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Gold Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$7,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million

A comparison of the The Edge PPO Platinum Series with 24 Month Rate Guarantee, Unlimited Visits, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist	Choice of four or unlimited office copays; $15 Primary Care Physician/$60 Specialist
Copay	Unlimited Visits- $15 Primary Care Physician/$60 Specialist	Unlimited Visits- $15 Primary Care Physician/$60 Specialist
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — The Edge HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the The Edge HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	None	None
Deductible	$5,500	$11,000

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$1,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$1,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	50% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	ubject to deductible and coinsurance	ubject to deductible and coinsurance
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	50% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	ubject to deductible and coinsurance	ubject to deductible and coinsurance
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	50% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	ubject to deductible and coinsurance	ubject to deductible and coinsurance
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	50% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$4,000	$2,000

Golden Rule Platinum — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,000	$4,000

Golden Rule Platinum — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,000	$4,000

Golden Rule Platinum — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	50% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$4,000	$2,000

Golden Rule Platinum — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,850	$5,700

Golden Rule Platinum — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,850	$5,700

Golden Rule Platinum — HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million

A comparison of the HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $5 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$5,500	$11,000

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$1,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$1,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	50% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$2,500(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	50% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$5,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Silver Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	50% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Gold Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	70% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the PPO Platinum Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Copay	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60	Physician Office Visit (Office co-pay rider included: 4 visits maximum; After 4 visits deductible and co-insurance apply): Primary care physician: $15 Specialist: $60
Deductible	$10,000(Maximum of 3 per family)	$2,000 per person in addition to in-network deductible

Golden Rule Platinum — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	30% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,000	$4,000

Golden Rule Platinum — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,000	$4,000

Golden Rule Platinum — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,000	$4,000

Golden Rule Platinum — HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Silver Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	50% after deductible	30% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,850	$5,700

Golden Rule Platinum — HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Gold Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,850	$5,700

Golden Rule Platinum — HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Platinum Single Series with 12 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$2,850	$5,700

Golden Rule Platinum — HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million

A comparison of the HSA Platinum Single Series with 24 Month Rate Guarantee, Lifetime Max $2 Million offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	80% after deductible
Office Visit	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Subject to deductible and coinsurance	Subject to deductible and coinsurance
Deductible	$5,500	$11,000

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Value

A comparison of the Value offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Physician Office Visit or Urgent Care Center - $40 copay per visit then 100% (limit 2 visits per calendar year, in-network and out-of-network combined)	Physician Office Visit or Urgent Care Center - 50% after deductible (limit 2 visits per calendar year, in-network and out-of-network combined)
Copay	Physician Office Visit or Urgent Care Center, Outpatient X-ray and Outpatient Diagnostic Lab tests - $40 copay per visit then 100%	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Value

A comparison of the Value offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Physician Office Visit or Urgent Care Center - $40 copay per visit then 100% (limit 2 visits per calendar year, in-network and out-of-network combined)	Physician Office Visit or Urgent Care Center - 50% after deductible (limit 2 visits per calendar year, in-network and out-of-network combined)
Copay	Physician Office Visit or Urgent Care Center, Outpatient X-ray and Outpatient Diagnostic Lab tests - $40 copay per visit then 100%	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Value

A comparison of the Value offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Physician Office Visit or Urgent Care Center - $40 copay per visit then 100% (limit 2 visits per calendar year, in-network and out-of-network combined)	Physician Office Visit or Urgent Care Center - 50% after deductible (limit 2 visits per calendar year, in-network and out-of-network combined)
Copay	Physician Office Visit or Urgent Care Center, Outpatient X-ray and Outpatient Diagnostic Lab tests - $40 copay per visit then 100%	N/A
Deductible	Individual: $10,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Advantage

A comparison of the Advantage offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	see brochure
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Value

A comparison of the Value offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Physician Office Visit or Urgent Care Center - $40 copay per visit then 100% (limit 2 visits per calendar year, in-network and out-of-network combined)	Physician Office Visit or Urgent Care Center - 50% after deductible (limit 2 visits per calendar year, in-network and out-of-network combined)
Copay	Physician Office Visit or Urgent Care Center, Outpatient X-ray and Outpatient Diagnostic Lab tests - $40 copay per visit then 100%	N/A
Deductible	Individual: $7,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Advantage

A comparison of the Advantage offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	see brochure
Deductible	Individual: $25,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Advantage

A comparison of the Advantage offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	see brochure
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Advantage

A comparison of the Advantage offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	see brochure
Deductible	Individual: $20,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Value

A comparison of the Value offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Physician Office Visit or Urgent Care Center - $40 copay per visit then 100% (limit 2 visits per calendar year, in-network and out-of-network combined)	Physician Office Visit or Urgent Care Center - 50% after deductible (limit 2 visits per calendar year, in-network and out-of-network combined)
Copay	Physician Office Visit or Urgent Care Center, Outpatient X-ray and Outpatient Diagnostic Lab tests - $40 copay per visit then 100%	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Value

A comparison of the Value offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Physician Office Visit or Urgent Care Center - $40 copay per visit then 100% (limit 2 visits per calendar year, in-network and out-of-network combined)	Physician Office Visit or Urgent Care Center - 50% after deductible (limit 2 visits per calendar year, in-network and out-of-network combined)
Copay	Physician Office Visit or Urgent Care Center, Outpatient X-ray and Outpatient Diagnostic Lab tests - $40 copay per visit then 100%	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Advantage

A comparison of the Advantage offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	see brochure
Deductible	Individual: $10,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $3,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $3,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Advantage

A comparison of the Advantage offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	see brochure
Deductible	Individual: $10,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Value

A comparison of the Value offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Physician Office Visit or Urgent Care Center - $40 copay per visit then 100% (limit 2 visits per calendar year, in-network and out-of-network combined)	Physician Office Visit or Urgent Care Center - 50% after deductible (limit 2 visits per calendar year, in-network and out-of-network combined)
Copay	Physician Office Visit or Urgent Care Center, Outpatient X-ray and Outpatient Diagnostic Lab tests - $40 copay per visit then 100%	N/A
Deductible	Individual: $3,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $3,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $3,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $3,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $3,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $3,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $3,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $3,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $3,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $3,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $3,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $3,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $2,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $3,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — High Deductible Health Plan

A comparison of the High Deductible Health Plan offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	100% after deductible
Copay	N/A	N/A
Deductible	$5,250 Individual, $10,500 Family	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $3,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $2,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	N/A
Deductible	Individual: $3,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $3,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	see brochure	50% after deductible
Office Visit	Physician Office Visit- $40 copay per visit then 100%	50% after deductible
Copay	Physician Office Visit- $40 copay per visit then 100%	N/A
Deductible	Individual: $4,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Advantage

A comparison of the Advantage offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	N/A	50% after deductible
Copay	N/A	see brochure
Deductible	Individual: $5,000, Family: 3x Individual	3x In-network

Golden Rule Platinum — Value

A comparison of the Value offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Physician Office Visit or Urgent Care Center - $40 copay per visit then 100% (limit 2 visits per calendar year, in-network and out-of-network combined)	Physician Office Visit or Urgent Care Center - 50% after deductible (limit 2 visits per calendar year, in-network and out-of-network combined)
Copay	Physician Office Visit or Urgent Care Center, Outpatient X-ray and Outpatient Diagnostic Lab tests - $40 copay per visit then 100%	N/A
Deductible	Individual: $2,500, Family: 3x Individual	3x In-network

Golden Rule Platinum — Deluxe

A comparison of the Deluxe offered by Golden Rule Platinum is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network