Resources and Forms
Everything you need for your Oklahoma coverage.
2025 Individual & Family Plans
Summary of Benefits and Coverage (SBC)
Direct Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - OffEx
Download PDFDirect Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx
Download PDFDirect Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx ZCS
Download PDFDirect Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx LCS
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OffEx
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx ZCS
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx LCS
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx CSR 73%
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx CSR 87%
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx CSR 94%
Download PDFDirect Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - OffEx
Download PDFDirect Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - OnEx
Download PDFDirect Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - OnEx ZCS
Download PDFDirect Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - OnEx LCS
Download PDFStandard Bronze - OffEx
Download PDFStandard Bronze - OnEx
Download PDFStandard Bronze - OnEx ZCS
Download PDFStandard Bronze - OnEx LCS
Download PDFStandard Silver - OffEx
Download PDFStandard Silver - OnEx
Download PDFStandard Silver - OnEx ZCS
Download PDFStandard Silver - OnEx LCS
Download PDFStandard Silver - OnEx CSR 73%
Download PDFStandard Silver - OnEx CSR 87%
Download PDFStandard Silver - OnEx CSR 94%
Download PDFStandard Gold - OffEx
Download PDFStandard Gold - OnEx
Download PDFStandard Gold - OnEx ZCS
Download PDFStandard Gold - OnEx LCS
Download PDFSchedule of Benefits (SOB)
Direct Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - OffEx
Download PDFDirect Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx
Download PDFDirect Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx ZCS
Download PDFDirect Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx LCS
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OffEx
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx ZCS
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx LCS
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx CSR 73%
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx CSR 87%
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx CSR 94%
Download PDFDirect Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - OffEx
Download PDFDirect Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - OnEx
Download PDFDirect Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - OnEx ZCS
Download PDFDirect Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - OnEx LCS
Download PDFStandard Bronze - OffEx
Download PDFStandard Bronze - OnEx
Download PDFStandard Bronze - OnEx ZCS
Download PDFStandard Bronze - OnEx LCS
Download PDFStandard Silver - OffEx
Download PDFStandard Silver - OnEx
Download PDFStandard Silver - OnEx ZCS
Download PDFStandard Silver - OnEx LCS
Download PDFStandard Silver - OnEx CSR 73%
Download PDFStandard Silver - OnEx CSR 87%
Download PDFStandard Silver - OnEx CSR 94%
Download PDFStandard Gold - OffEx
Download PDFStandard Gold - OnEx
Download PDFStandard Gold - OnEx ZCS
Download PDFStandard Gold - OnEx LCS
Download PDFEvidence of Coverage (EOC)
Direct Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - OffEx
Download PDFDirect Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx
Download PDFDirect Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx ZCS
Download PDFDirect Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx LCS
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OffEx
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx ZCS
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx LCS
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx CSR 73%
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx CSR 87%
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OnEx CSR 94%
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OffEx
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx ZCS
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx LCS
Download PDFStandard Bronze - OffEx
Download PDFStandard Bronze - OnEx
Download PDFStandard Bronze - OnEx ZCS
Download PDFStandard Bronze - OnEx LCS
Download PDFStandard Silver - OffEx
Download PDFStandard Silver - OnEx
Download PDFStandard Silver - OnEx ZCS
Download PDFStandard Silver - OnEx LCS
Download PDFStandard Silver - OnEx CSR 73%
Download PDFStandard Silver - OnEx CSR 87%
Download PDFStandard Silver - OnEx CSR 94%
Download PDFStandard Gold - OffEx
Download PDFStandard Gold - OnEx
Download PDFStandard Gold - OnEx ZCS
Download PDFStandard Gold - OnEx LCS
Download PDF2025 Small Group Plans
Summary of Benefits and Coverage (SBC)
Direct Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - OffEx
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OffEx
Download PDFDirect Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - OffEx
Download PDFStandard Bronze - OffEx
Download PDFStandard Bronze HSA - OffEx
Download PDFStandard Silver - OffEx
Download PDFStandard Silver HSA - OffEx
Download PDFStandard Gold - OffEx
Download PDFSchedule of Benefits (SOB)
Direct Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - OffEx
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OffEx
Download PDFDirect Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - OffEx
Download PDFStandard Bronze - OffEx
Download PDFStandard Bronze HSA - OffEx
Download PDFStandard Silver - OffEx
Download PDFStandard Silver HSA - OffEx
Download PDFStandard Gold - OffEx
Download PDFEvidence of Coverage (EOC)
Direct Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - OffEx
Download PDFDirect Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - OffEx
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OffEx
Download PDFStandard Bronze - OffEx
Download PDFStandard Bronze HSA - OffEx
Download PDFStandard Silver - OffEx
Download PDFStandard Silver HSA - OffEx
Download PDFStandard Gold - OffEx
Download PDF2024 Individual & Family Plans
Summary of Benefits and Coverage (SBC)
Direct Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OffEx
Download PDFDirect Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OnEx
Download PDFDirect Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OnEx ZCS
Download PDFDirect Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OnEx LCS
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OffEx
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx ZCS
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx LCS
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx CSR 73%
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx CSR 87%
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx CSR 94%
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OffEx
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx ZCS
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx LCS
Download PDFStandard Bronze - OffEx
Download PDFStandard Bronze - OnEx
Download PDFStandard Bronze - OnEx ZCS
Download PDFStandard Bronze - OnEx LCS
Download PDFStandard Silver - OffEx
Download PDFStandard Silver - OnEx
Download PDFStandard Silver - OnEx ZCS
Download PDFStandard Silver - OnEx LCS
Download PDFStandard Silver - OnEx CSR 73%
Download PDFStandard Silver - OnEx CSR 87%
Download PDFStandard Silver - OnEx CSR 94%
Download PDFStandard Gold - OffEx
Download PDFStandard Gold - OnEx
Download PDFStandard Gold - OnEx ZCS
Download PDFStandard Gold - OnEx LCS
Download PDFEvidence of Coverage (EOC)
Direct Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OffEx
Download PDFDirect Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OnEx
Download PDFDirect Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OnEx ZCS
Download PDFDirect Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OnEx LCS
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OffEx
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx ZCS
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx LCS
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx CSR 73%
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx CSR 87%
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx CSR 94%
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OffEx
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx ZCS
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx LCS
Download PDFStandard Bronze - OffEx
Download PDFStandard Bronze - OnEx
Download PDFStandard Bronze - OnEx ZCS
Download PDFStandard Bronze - OnEx LCS
Download PDFStandard Silver - OffEx
Download PDFStandard Silver - OnEx
Download PDFStandard Silver - OnEx ZCS
Download PDFStandard Silver - OnEx LCS
Download PDFStandard Silver - OnEx CSR 73%
Download PDFStandard Silver - OnEx CSR 87%
Download PDFStandard Silver - OnEx CSR 94%
Download PDFStandard Gold - OffEx
Download PDFStandard Gold - OnEx
Download PDFStandard Gold - OnEx ZCS
Download PDFStandard Gold - OnEx LCS
Download PDFSchedule of Benefits (SOB)
Direct Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OffEx
Download PDFDirect Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OnEx
Download PDFDirect Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OnEx ZCS
Download PDFDirect Primary Care Bronze ($0 PCP, Mental Health + $15 Labs) - OnEx LCS
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OffEx
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx ZCS
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx LCS
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx CSR 73%
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx CSR 87%
Download PDFDirect Primary Care Silver ($0 PCP, Mental Health, Labs, Generics) - OnEx CSR 94%
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OffEx
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx ZCS
Download PDFDirect Primary Care Gold ($0 PCP, Mental Health, Labs, Generics, $0 Deduct) - OnEx LCS
Download PDFStandard Bronze - OffEx
Download PDFStandard Bronze - OnEx
Download PDFStandard Bronze - OnEx ZCS
Download PDFStandard Bronze - OnEx LCS
Download PDFStandard Silver - OffEx
Download PDFStandard Silver - OnEx
Download PDFStandard Silver - OnEx ZCS
Download PDFStandard Silver - OnEx LCS
Download PDFStandard Silver - OnEx CSR 73%
Download PDFStandard Silver - OnEx CSR 87%
Download PDFStandard Silver - OnEx CSR 94%
Download PDFStandard Gold - OffEx
Download PDFStandard Gold - OnEx
Download PDFStandard Gold - OnEx ZCS
Download PDFStandard Gold - OnEx LCS
Download PDF