|
Code
|
Plan or Line of Business
|
|
AIXDMBA
|
Church Activity Medical Assistance
|
|
BHXDMBA
|
BYU-Hawaii Student Medical Benefit
|
|
BWXDMBA
|
BYU and Ensign College Student Health Plan Away-from-Campus Coverage
|
|
BXXDMBA
|
BYU and Ensign College Student Health Plan Extended Coverage
|
|
BYXDMBA
|
BYU and Ensign College Student Health Plan On-Campus Coverage
|
|
HMXDMBA
|
Deseret Choice Hawaii / Deseret Alliance
|
|
HXXDMBA
|
BYU-Hawaii Student Medical Benefit Extended Coverage
|
|
M1XDMBA
|
Deseret Alliance
|
|
MPXDMBA
|
Missionary Medical / Mission President
|
|
MXXDMBA
|
Missionary Medical
|
|
NEXDMBA
|
Not Eligible for Medical
|
|
NMXDMBA
|
Life and Disability Only
|
|
NXXDMBA
|
Non-medical Coverage Only (Enrolled in PDP)
|
|
OCXDMBA
|
Optional Coverage Only
|
|
PCXDMBA
|
BYU and Ensign College Student Health Plan Large Claims Coverage
|
|
RAXDMBA
|
BYU-Idaho Student Health Plan Away-from-Campus Coverage
|
|
RFXDMBA
|
BYU-Idaho Student Health Plan On-Campus Coverage
|
|
RXXDMBA
|
BYU-Idaho Student Health Plan Extended Coverage
|
|
S6XDMBA
|
DMBA HSA 60 Plan / Deseret Alliance
|
|
S7XDMBA
|
DMBA PPO 70 Plan / Deseret Alliance
|
|
S8XDMBA
|
DMBA HSA 80 Plan / Deseret Alliance
|
|
S9XDMBA
|
DMBA PPO 90 Plan / Deseret Alliance
|
|
T6XDMBA
|
DMBA HSA 60 Plan / Deseret Alliance
|
|
T7XDMBA
|
DMBA PPO 70 Plan / Deseret Alliance
|
|
T8XDMBA
|
DMBA HSA 80 Plan / Deseret Alliance
|
|
T9XDMBA
|
DMBA PPO 90 Plan / Deseret Alliance
|
|
WXXDMBA
|
Waived All Coverage
|
|
ZXXDMBA
|
DMBA Plus Plan
|