| 2018 | AK | 74819 | HIOS | 08/08/2017 02:20:00 AM | SHOP (Small Group) | Yes | 95-6042390 | 74819AK0010007 | BESTDental Premium | 74819AK001 | | AKN001 | AKS001 | | Existing | PPO | High | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Guaranteed Rate | 01/01/2018 12:00:00 AM | | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 74819AK0010007-01 | BESTDental Premium | Standard High On Exchange Plan | 87 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | Not Applicable | per person not applicable | per group not applicable | | | | | | Not Applicable | per person not applicable | per group not applicable | $50 | $50 per person | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| 2018 | AK | 74819 | HIOS | 08/08/2017 02:20:00 AM | SHOP (Small Group) | Yes | 95-6042390 | 74819AK0010008 | BESTDental Standard - H | 74819AK001 | | AKN001 | AKS001 | | Existing | PPO | High | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Guaranteed Rate | 01/01/2018 12:00:00 AM | | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 74819AK0010008-00 | BESTDental Standard - H | Standard High Off Exchange Plan | 87 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | Not Applicable | per person not applicable | per group not applicable | | | | | | Not Applicable | per person not applicable | per group not applicable | $50 | $50 per person | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| 2018 | AK | 74819 | HIOS | 08/08/2017 02:20:00 AM | Individual | Yes | 95-6042390 | 74819AK0020004 | BESTOne Plus Gold | 74819AK002 | | AKN001 | AKS001 | | Existing | PPO | High | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Estimated Rate | 01/01/2018 12:00:00 AM | 12/31/2018 12:00:00 AM | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 74819AK0020004-00 | BESTOne Plus Gold | Standard High Off Exchange Plan | 87 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | Not Applicable | per person not applicable | per group not applicable | | | | | | Not Applicable | per person not applicable | per group not applicable | $50 | $50 per person | $150 per group | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | https://www.bestlife.com/ak/current/AK_BESTOne_Dental_Plus-Gold_Plan.pdf |
| 2018 | AK | 74819 | HIOS | 08/08/2017 02:20:00 AM | Individual | Yes | 95-6042390 | 74819AK0020004 | BESTOne Plus Gold | 74819AK002 | | AKN001 | AKS001 | | Existing | PPO | High | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Estimated Rate | 01/01/2018 12:00:00 AM | 12/31/2018 12:00:00 AM | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 74819AK0020004-01 | BESTOne Plus Gold | Standard High On Exchange Plan | 87 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | Not Applicable | per person not applicable | per group not applicable | | | | | | Not Applicable | per person not applicable | per group not applicable | $50 | $50 per person | $150 per group | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | https://www.bestlife.com/ak/current/AK_BESTOne_Dental_Plus-Gold_Plan.pdf |
| 2018 | AK | 74819 | HIOS | 08/08/2017 02:20:00 AM | Individual | Yes | 95-6042390 | 74819AK0020005 | BESTOne Plus Silver | 74819AK002 | | AKN001 | AKS001 | | Existing | PPO | Low | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Estimated Rate | 01/01/2018 12:00:00 AM | 12/31/2018 12:00:00 AM | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 74819AK0020005-00 | BESTOne Plus Silver | Standard Low Off Exchange Plan | 70.8 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | $75 | $75 per person | per group not applicable | | | | | | $100 | $100 per person | per group not applicable | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | https://www.bestlife.com/ak/current/AK_BESTOne_Dental_Plus-Silver_Plan.pdf |
| 2018 | AK | 74819 | HIOS | 08/08/2017 02:20:00 AM | Individual | Yes | 95-6042390 | 74819AK0020006 | BESTOne Basic Silver | 74819AK002 | | AKN001 | AKS001 | | Existing | PPO | Low | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Estimated Rate | 01/01/2018 12:00:00 AM | 12/31/2018 12:00:00 AM | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 74819AK0020006-00 | BESTOne Basic Silver | Standard Low Off Exchange Plan | 70.8 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | $75 | $75 per person | per group not applicable | | | | | | $100 | $100 per person | per group not applicable | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | https://www.bestlife.com/ak/current/AK_BESTOne_Dental_Basic-Silver_Plan.pdf |
| 2018 | AK | 74819 | HIOS | 08/08/2017 02:20:00 AM | Individual | Yes | 95-6042390 | 74819AK0020006 | BESTOne Basic Silver | 74819AK002 | | AKN001 | AKS001 | | Existing | PPO | Low | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Estimated Rate | 01/01/2018 12:00:00 AM | 12/31/2018 12:00:00 AM | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 74819AK0020006-01 | BESTOne Basic Silver | Standard Low On Exchange Plan | 70.8 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | $75 | $75 per person | per group not applicable | | | | | | $100 | $100 per person | per group not applicable | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | https://www.bestlife.com/ak/current/AK_BESTOne_Dental_Basic-Silver_Plan.pdf |
| 2018 | AK | 74819 | HIOS | 08/08/2017 02:20:00 AM | SHOP (Small Group) | Yes | 95-6042390 | 74819AK0010011 | BESTDental Choice - L | 74819AK001 | | AKN001 | AKS001 | | Existing | PPO | Low | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Guaranteed Rate | 01/01/2018 12:00:00 AM | | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 74819AK0010011-01 | BESTDental Choice - L | Standard Low On Exchange Plan | 70.8 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | $75 | $75 per person | per group not applicable | | | | | | $100 | $100 per person | per group not applicable | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| 2018 | AK | 74819 | HIOS | 08/08/2017 02:20:00 AM | SHOP (Small Group) | Yes | 95-6042390 | 74819AK0010012 | BESTDental Value | 74819AK001 | | AKN001 | AKS001 | | Existing | PPO | Low | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Guaranteed Rate | 01/01/2018 12:00:00 AM | | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 74819AK0010012-00 | BESTDental Value | Standard Low Off Exchange Plan | 70.8 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | $75 | $75 per person | per group not applicable | | | | | | $100 | $100 per person | per group not applicable | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| 2018 | AK | 74819 | HIOS | 08/08/2017 02:20:00 AM | SHOP (Small Group) | Yes | 95-6042390 | 74819AK0010012 | BESTDental Value | 74819AK001 | | AKN001 | AKS001 | | Existing | PPO | Low | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Guaranteed Rate | 01/01/2018 12:00:00 AM | | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 74819AK0010012-01 | BESTDental Value | Standard Low On Exchange Plan | 70.8 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | $75 | $75 per person | per group not applicable | | | | | | $100 | $100 per person | per group not applicable | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| 2018 | AL | 12538 | HIOS | 08/08/2017 02:20:00 AM | Individual | Yes | 95-6042390 | 12538AL0020003 | BESTOne Advantage Gold | 12538AL002 | | ALN001 | ALS001 | | Existing | PPO | High | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Guaranteed Rate | 01/01/2018 12:00:00 AM | 12/31/2018 12:00:00 AM | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 12538AL0020003-00 | BESTOne Advantage Gold | Standard High Off Exchange Plan | 85 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | Not Applicable | per person not applicable | per group not applicable | | | | | | Not Applicable | per person not applicable | per group not applicable | $50 | $50 per person | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | https://www.bestlife.com/AL/current/AL_BESTOne_Dental_Advantage-Gold_Plan.pdf |
| 2018 | AL | 12538 | HIOS | 08/08/2017 02:20:00 AM | SHOP (Small Group) | Yes | 95-6042390 | 12538AL0010007 | BESTDental Premium | 12538AL001 | | ALN001 | ALS001 | | Existing | PPO | High | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Guaranteed Rate | 01/01/2018 12:00:00 AM | | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 12538AL0010007-00 | BESTDental Premium | Standard High Off Exchange Plan | 85 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | Not Applicable | per person not applicable | per group not applicable | | | | | | Not Applicable | per person not applicable | per group not applicable | $50 | $50 per person | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | https://www.bestlife.com/al/CURRENT/AL_BESTDental_Premium_Plan.pdf |
| 2018 | AL | 12538 | HIOS | 08/08/2017 02:20:00 AM | SHOP (Small Group) | Yes | 95-6042390 | 12538AL0010007 | BESTDental Premium | 12538AL001 | | ALN001 | ALS001 | | Existing | PPO | High | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Guaranteed Rate | 01/01/2018 12:00:00 AM | | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 12538AL0010007-01 | BESTDental Premium | Standard High On Exchange Plan | 85 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | Not Applicable | per person not applicable | per group not applicable | | | | | | Not Applicable | per person not applicable | per group not applicable | $50 | $50 per person | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | https://www.bestlife.com/al/CURRENT/AL_BESTDental_Premium_Plan.pdf |
| 2018 | AL | 12538 | HIOS | 08/08/2017 02:20:00 AM | Individual | Yes | 95-6042390 | 12538AL0020003 | BESTOne Advantage Gold | 12538AL002 | | ALN001 | ALS001 | | Existing | PPO | High | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Guaranteed Rate | 01/01/2018 12:00:00 AM | 12/31/2018 12:00:00 AM | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 12538AL0020003-01 | BESTOne Advantage Gold | Standard High On Exchange Plan | 85 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | Not Applicable | per person not applicable | per group not applicable | | | | | | Not Applicable | per person not applicable | per group not applicable | $50 | $50 per person | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | https://www.bestlife.com/AL/current/AL_BESTOne_Dental_Advantage-Gold_Plan.pdf |
| 2018 | AL | 12538 | HIOS | 08/08/2017 02:20:00 AM | Individual | Yes | 95-6042390 | 12538AL0020004 | BESTOne Plus Gold | 12538AL002 | | ALN001 | ALS001 | | Existing | PPO | High | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Guaranteed Rate | 01/01/2018 12:00:00 AM | 12/31/2018 12:00:00 AM | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 12538AL0020004-00 | BESTOne Plus Gold | Standard High Off Exchange Plan | 85 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | Not Applicable | per person not applicable | per group not applicable | | | | | | Not Applicable | per person not applicable | per group not applicable | $50 | $50 per person | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | https://www.bestlife.com/AL/current/AL_BESTOne_Dental_Plus-Gold_Plan.pdf |
| 2018 | AL | 12538 | HIOS | 08/08/2017 02:20:00 AM | SHOP (Small Group) | Yes | 95-6042390 | 12538AL0010008 | BESTDental Standard - H | 12538AL001 | | ALN001 | ALS001 | | Existing | PPO | High | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Guaranteed Rate | 01/01/2018 12:00:00 AM | | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 12538AL0010008-00 | BESTDental Standard - H | Standard High Off Exchange Plan | 85 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | Not Applicable | per person not applicable | per group not applicable | | | | | | Not Applicable | per person not applicable | per group not applicable | $50 | $50 per person | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | https://www.bestlife.com/al/CURRENT/AL_BESTDental_Standard-H_Plan.pdf |
| 2018 | AL | 12538 | HIOS | 08/08/2017 02:20:00 AM | SHOP (Small Group) | Yes | 95-6042390 | 12538AL0010008 | BESTDental Standard - H | 12538AL001 | | ALN001 | ALS001 | | Existing | PPO | High | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Guaranteed Rate | 01/01/2018 12:00:00 AM | | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 12538AL0010008-01 | BESTDental Standard - H | Standard High On Exchange Plan | 85 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | Not Applicable | per person not applicable | per group not applicable | | | | | | Not Applicable | per person not applicable | per group not applicable | $50 | $50 per person | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | https://www.bestlife.com/al/CURRENT/AL_BESTDental_Standard-H_Plan.pdf |
| 2018 | AL | 12538 | HIOS | 08/08/2017 02:20:00 AM | Individual | Yes | 95-6042390 | 12538AL0020004 | BESTOne Plus Gold | 12538AL002 | | ALN001 | ALS001 | | Existing | PPO | High | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Guaranteed Rate | 01/01/2018 12:00:00 AM | 12/31/2018 12:00:00 AM | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 12538AL0020004-01 | BESTOne Plus Gold | Standard High On Exchange Plan | 85 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | Not Applicable | per person not applicable | per group not applicable | | | | | | Not Applicable | per person not applicable | per group not applicable | $50 | $50 per person | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | https://www.bestlife.com/AL/current/AL_BESTOne_Dental_Plus-Gold_Plan.pdf |
| 2018 | AL | 12538 | HIOS | 08/08/2017 02:20:00 AM | SHOP (Small Group) | Yes | 95-6042390 | 12538AL0010010 | BESTDental Choice - H | 12538AL001 | | ALN001 | ALS001 | | Existing | PPO | High | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Guaranteed Rate | 01/01/2018 12:00:00 AM | | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 12538AL0010010-00 | BESTDental Choice - H | Standard High Off Exchange Plan | 85 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | Not Applicable | per person not applicable | per group not applicable | | | | | | Not Applicable | per person not applicable | per group not applicable | $50 | $50 per person | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | https://www.bestlife.com/al/CURRENT/AL_BESTDental_Choice-H_Plan.pdf |
| 2018 | AL | 12538 | HIOS | 08/08/2017 02:20:00 AM | SHOP (Small Group) | Yes | 95-6042390 | 12538AL0010010 | BESTDental Choice - H | 12538AL001 | | ALN001 | ALS001 | | Existing | PPO | High | Not Applicable | | Both | | | | | | No | Allows Adult and Child-Only | | | | | 1 | Guaranteed Rate | 01/01/2018 12:00:00 AM | | No | | Yes | Full | Yes | http://www.bestlife.com/exchange/payment_option.html | | 12538AL0010010-01 | BESTDental Choice - H | Standard High On Exchange Plan | 85 | | | | No | 100 | | | | | | | | | | | | | | | 0 | 0 | 0 | $350 | $350 per person | $700 per group | | | | $700 | $700 per person | $1400 per group | Not Applicable | per person not applicable | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | Not Applicable | per person not applicable | per group not applicable | | | | | | Not Applicable | per person not applicable | per group not applicable | $50 | $50 per person | per group not applicable | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | https://www.bestlife.com/al/CURRENT/AL_BESTDental_Choice-H_Plan.pdf |
