Family combined Maximum maximum Family Varchar 15 No and total. Enter for Total— integrated or, if separate, enter for medical. Is the maximum Options are for the in–network integrated and Varchar 15 No medical and drug separate. integrated or separate for EHBs? Dollar amount will be entered. If separate, enter If plan has the separate multiple tiers with separate Varchar 15 No maximum for the out–of–pocket in–network maximums, medical for EHBs enter for Tier 1 and Tier 2. If separate, enter the separate Dollar amount Varchar 15 No maximum for the will be entered. in–network drug for EHBs If integrated, enter If plan has the out–of–pocket multiple tiers maximum for the with separate in–network out–of–pocket Varchar 15 No medical and drug maximums, for EHBs—Dollar enter for Tier 1 amount will be and Tier 2. entered.
Maximum Family and Total— Family combined maximum total. Enter for integrated or, if separate, enter for medical. Varchar 15 No Is the maximum for the in–network medical and drug integrated or separate for EHBs? Options are integrated and separate. Varchar 15 No If separate, enter the separate maximum for the in–network medical for EHBs Dollar amount will be entered. If plan has multiple tiers with separate out–of–pocket maximums, enter for Tier 1 and Tier 2. Varchar 15 No If separate, enter the separate maximum for the in–network drug for EHBs Dollar amount will be entered. Varchar 15 No If integrated, enter the out–of–pocket maximum for the in–network medical and drug for EHBs—Dollar amount will be entered. If plan has multiple tiers with separate out–of–pocket maximums, enter for Tier 1 and Tier 2. Varchar 15 No