Kavi Marketplace has designed a website to provide you with the latest announcements and the ability to view, print and download information about the employee benefit plans available to qualified groups.


PLAN SUMMARIES
& BOOKLETS

This section provides you access to medical and dental SBC's, summaries and booklets for all other lines of coverage offered by Kavi Marketplace. 

If you have any questions, please contact the Trust Program Manager, Nathan Edmondson at 206-602-3558 or Nathan.Edmondson@advprofessionals.com.


  • These documents are provided to assist employers in fulfilling their obligations to provide employees with SBC's within the time frame and circumstances required by the Affordable Care Act.

  • The SBC is a standardized description of the benefits and coverage available under the group health plan. SBC's and Glossary of Health Coverage and Medical Terms must be provided to all participants and beneficiaries.


Effective Dates - January 1, 2021 - December 31, 2021

Carrier: Regence BlueShield & Asuris Northwest Health

Kavi Marketplace Medical Side-by-Side (Regence / Asuris)

*SBC = Summaries of Benefits and Coverage

Platinum Plans SBC Benefit Summary
  Platinum 250 Regence/ Asuris Regence/ Asuris
  Platinum 500 Regence/ Asuris Regence/ Asuris
Gold Plans SBC Benefit Summary
  Gold 500 Regence/ Asuris Regence/ Asuris
  Gold 1000 Regence/ Asuris Regence/ Asuris
  Gold 1500 Regence/ Asuris Regence/ Asuris
  Gold 2000 Regence/ Asuris Regence/ Asuris
  Gold 2500 Regence/ Asuris Regence/ Asuris
  Gold HSA 1500 Regence/ Asuris Regence/ Asuris
Silver Plans SBC Benefit Summary
  Silver 3000 Regence/ Asuris Regence/ Asuris
  Silver 5500 Regence/ Asuris Regence/ Asuris
  Silver HSA 2000 Regence/ Asuris Regence/ Asuris
  Silver HSA 3000 Embedded Regence/ Asuris Regence/ Asuris
  Silver HSA 3500 Regence/ Asuris Regence/ Asuris
  Silver HSA 4250 Regence/ Asuris Regence/ Asuris
  Silver Essential 2500 Regence/ Asuris Regence/ Asuris
  Silver Essential 4000 Regence/ Asuris Regence/ Asuris
Bronze Plans SBC Benefit Summary 
  Bronze Essential 7500 Regence/ Asuris Regence/ Asuris
  Bronze HSA 5500 Regence/ Asuris Regence/ Asuris
  Bronze 8550 Regence/ Asuris Regence/ Asuris

 

 

Effective Dates - January 1, 2021 - December 31, 2021

Carrier: Delta Dental of Washington

Delta Dental Plans    
Plan Summary Booklet
  Dental Side by Side Download  
  Plan A
  $50 / $1000 / 100% / 80% / 50%
Download Download
  Plan B
  $50 / $1500 / 100% / 80% / 50%
Download Download
  Plan C
  $50 / $2000 / 100% / 80% / 50%
Download Download
  Plan D
  $50 / $2000 / 100% / 90% / 50%
Download Download
  Child Ortho Download Download
  Family Ortho Download Download

 

 

Effective Dates - January 1, 2021 - December 31, 2021

Carrier: VSP Vision Care Inc.

VSP Vision Plans    
Plan Summary Certificate
  VSP
  Side by Side Comparison
Download  
  VSP-Kavi Certificate
  of Coverage 2019
  Download
  Vision Plan A Download SBC
Schedule of Benefits
  Vision Plan B Download SBC
Schedule of Benefits
  Vision Plan C Download SBC Coming Soon
Schedule of Benefits

 

 

Effective Dates - January 1, 2021 - December 31, 2021

Carrier: LifeMap 

LifeMap Life Insurance Plans Summary Booklet
  Basic Life and AD&D $15,000 - Option 1 Download Download
  Basic Life and AD&D $25,000 - Option 2 Download Download
  Voluntary Life Plan Download Download

 


Effective Dates - January 1, 2020 - December 31, 2020

Carrier: Regence BlueShield & Asuris Northwest Health

Kavi Marketplace Medical Side-by-Side (Regence / Asuris)

Platinum Plans SBC
  Platinum 250 Regence / Asuris
  Platinum 500 Regence / Asuris
Gold Plans SBC
  Gold 500 Regence / Asuris
  Gold 1000 Regence / Asuris
  Gold 1500 Regence / Asuris
  Gold 2000 Regence / Asuris
  Gold 2500 Regence / Asuris
  Gold HSA 1500 Regence / Asuris
Silver Plans SBC
  Silver 3000 Regence / Asuris
  Silver 5500 Regence / Asuris
  Silver HSA 2000 Regence / Asuris
  Silver HSA 3000 Embedded Regence / Asuris
  Silver HSA 3500 Regence / Asuris
  Silver HSA 4250 Regence / Asuris
  Silver Essential 2500 Regence / Asuris
  Silver Essential 4000 Regence / Asuris
Bronze Plans SBC
  Bronze Essential 5500 Regence / Asuris
  Bronze HSA 5000 Regence / Asuris
  Bronze 8150 Regence / Asuris

 

 

Effective Dates - January 1, 2020 - December 31, 2020

Carrier: Delta Dental of Washington

Delta Dental Plans    
Plan Summary Booklet
  Dental Side by Side Download  
  Plan A
  $50 / $1000 / 100% / 80% / 50%
Download Download
  Plan B
  $50 / $1500 / 100% / 80% / 50%
Download Download
  Plan C
  $50 / $2000 / 100% / 80% / 50%
Download Download
  Plan D
  $50 / $2000 / 100% / 90% / 50%
Download Download
  Child Ortho Download Download
  Family Ortho Download Download

 

 

Effective Dates - January 1, 2020 - December 31, 2020

Carrier: VSP Vision Care Inc.

VSP Vision Plans    
Plan Summary Certificate
  VSP
  Side by Side Comparison
Download  
  VSP-Kavi Certificate
  of Coverage 2019
  Download
  Vision Plan A Download SBC
Schedule of Benefits
  Vision Plan B Download SBC
Schedule of Benefits
  Vision Plan C Download SBC Coming Soon
Schedule of Benefits

 

 

Effective Dates - January 1, 2020 - December 31, 2020

Carrier: LifeMap 

LifeMap Life Insurance Plans Summary Booklet
  Basic Life and AD&D $15,000 - Option 1 Download Download
  Basic Life and AD&D $25,000 - Option 2 Download Download
  Voluntary Life Plan Download Download

 

Effective Dates - January 1, 2019 - December 31, 2019

Carrier: Regence BlueShield & Asuris Northwest Health

Kavi Marketplace Medical Side-by-Side (Regence / Asuris)

Platinum Plans SBC
  Platinum 250 Regence / Asuris
  Platinum 500 Regence / Asuris
Gold Plans SBC
  Gold 500 Regence / Asuris
  Gold 1000 Regence / Asuris
  Gold 2000 Regence / Asuris
  Gold 2500 Regence / Asuris
  Gold HSA 1500 Regence / Asuris
Silver Plans SBC
  Silver 3250 Regence / Asuris
  Silver 5500 Regence / Asuris
  Silver HSA 2000 Regence / Asuris
  Silver HSA 3000 Regence / Asuris
  Silver HSA 3500 Regence / Asuris
  Silver HSA 4000 Regence / Asuris
  Silver Essential 4000 Regence / Asuris
Bronze Plans SBC
  Bronze Essential 5000 Regence / Asuris
  Bronze HSA 5000 Regence / Asuris
  Bronze 7900 Regence / Asuris

 

 

Effective Dates - January 1, 2019 - December 31, 2019

Carrier: Delta Dental of Washington

Delta Dental Plans    
Plan Summary Booklet
  Dental Side by Side Download  
  Plan A
  $50 / $1000 / 100% / 80% / 50%
Download Download
  Plan B
  $50 / $1500 / 100% / 80% / 50%
Download Download
  Plan C
  $50 / $2000 / 100% / 80% / 50%
Download Download
  Plan D
  $50 / $2000 / 100% / 90% / 50%
Download Download
  Child Ortho Download Download
  Family Ortho Download Download

 

 

Effective Dates - January 1, 2019 - December 31, 2019

Carrier: VSP Vision Care Inc.

VSP Vision Plans    
Plan Summary Certificate
  VSP
  Side by Side Comparison
Download  
  VSP-Kavi Certificate
  of Coverage 2019
  Download
  Vision Plan A Download SBC
Schedule of Benefits
  Vision Plan B Download SBC
Schedule of Benefits
  Vision Plan C Download SBC Coming Soon
Schedule of Benefits

 

 

Effective Dates - January 1, 2019 - December 31, 2019

Carrier: LifeMap 

LifeMap Life Insurance Plans Summary
  Basic Life and AD&D $15,000 - Option 1 Download
  Basic Life and AD&D $25,000 - Option 2 Download
  Voluntary Life Plan Download

 

Effective Dates - January 1, 2018 - December 31, 2018

Carrier: Regence BlueShield & Asuris Northwest Health

Platinum Plans SBC
  Platinum 250 Regence / Asuris
  Platinum 500 Regence / Asuris
Gold Plans SBC
  Gold 500 Regence / Asuris
  Gold 1000 Regence / Asuris
  Gold 2000 Regence / Asuris
  Gold 2500 Regence / Asuris
  Gold HSA 1500 Regence / Asuris
Silver Plans SBC
  Silver 3250 Regence / Asuris
  Silver 5500 Regence / Asuris
  Silver HSA 2000 Regence / Asuris
  Silver HSA 3500 Regence / Asuris
  Silver HSA 4000 Regence / Asuris
  Silver Essential 4000 Regence / Asuris
Bronze Plans SBC
  Bronze Essential 5000 Regence / Asuris
  Bronze HSA 5000 Regence / Asuris

 

 

Effective Dates - January 1, 2018 - December 31, 2018

Carrier: Delta Dental of Washington

Delta Dental Plans    
Plan Summary Booklet
  Dental Side by Side Download  
  Plan A
  $50 / $1000 / 100% / 80% / 50%
Download Download
  Plan B
  $50 / $1500 / 100% / 80% / 50%
Download Download
  Plan C
  $50 / $2000 / 100% / 80% / 50%
Download Download
  Plan D
  $50 / $2000 / 100% / 90% / 50%
Download Download
  Child Ortho Download Download
  Family Ortho Download Download

 

 

Effective Dates - January 1, 2018 - December 31, 2018

Carrier: VSP Vision Care Inc.

VSP Vision Plans    
Plan Summary Certificate
  VSP
  Side by Side Comparison
Download  
  VSP-Kavi
  Certificate of Coverage 2018
  Download
  Vision Plan A
  - 12 month exam
  - 24 month lenses
  - 24 month frames
Download SBC

Schedule of
Benefits
  Vision Plan B
  - 12 month exam
  - 12 month lenses
  - 24 month frames
Download SBC

Schedule of
Benefits

 

 

Effective Dates - January 1, 2018 - December 31, 2018

Carrier: LifeMap 

LifeMap Life Insurance Plans Summary
  Basic Life and AD&D $15,000 - Option 1 Download
  Basic Life and AD&D $25,000 - Option 2 Download
  Voluntary Life Plan Download

 

 

 

 

Copyright © 2020 Advanced Professionals. All rights reserved.