|
Code
|
Plan or Line of Business
|
|
AIXDMBA
|
Church Activity Medical Assistance
|
|
BHXDMBA
|
BYU Hawaii Student Plan
|
|
BWXDMBA
|
BYU Provo / LDS Business College Away from Campus Coverage
|
|
BXXDMBA
|
BYU Provo / LDS Business College Extended Coverage
|
|
BYXDMBA
|
BYU Provo / LDS Business College On-Campus coverage
|
|
C2XDMBA
|
BYU Hawaii Large Claims Coverage
|
|
CCXDMBA
|
LDS Large Claims Coverage (9-1-2009 obsolete)
|
|
CHXDMBA
|
BYU Hawaii Large Claims Coverage (6-30-2010 obsolete)
|
|
D1XDMBA
|
Dental, Life & Disability
|
|
DLXDMBA
|
Dental, Life & Disability
|
|
DSXDMBA
|
Deseret Select / Deseret Secure
|
|
ESXDMBA
|
Senior Service Medical Plan – Extended Service
|
|
GMXDMBA
|
Deseret Choice / Deseret Secure
|
|
HMXDMBA
|
Deseret Choice Hawaii / Deseret Secure
|
|
HPXDMBA
|
Deseret Premier / Deseret Secure
|
|
HSXDMBA
|
Deseret Choice Hawaii / Deseret Secure PLUS
|
|
HXXDMBA
|
BYU Hawaii Extended Coverage
|
|
IAXDMBA
|
BYU Idaho Student Health Plan without Rx Away-from-Campus Coverage
|
|
ICXDMBA
|
BYU Idaho Large Claims Coverage
|
|
IFXDMBA
|
BYU Idaho Student Health Plan without Rx On-campus Coverage
|
|
IXXDMBA
|
BYU Idaho Student Health Plan without Rx Extended Coverage
|
|
LAXDMBA
|
LDS Business Away From Campus Coverage (9-1-2009 obsolete)
|
|
LFXDMBA
|
LDS Business On-campus Coverage (9-1-2009 obsolete)
|
|
LPXDMBA
|
Deseret Value / Deseret Secure
|
|
LSXDMBA
|
Deseret Value / Deseret Secure PLUS
|
|
LXXDMBA
|
LDS Business Extended Coverage (9-1-2009 obsolete)
|
|
MPXDMBA
|
Missionary Medical / Mission President
|
|
MSXDMBA
|
Deseret Choice / Deseret Secure PLUS
|
|
MXXDMBA
|
Missionary Medical
|
|
N2XDMBA
|
Life Only (Waived Medical) (9-1-2009 obsolete)
|
|
NAXDMBA
|
Deseret Premier / Deseret Secure Assist
|
|
NEXDMBA
|
Not Eligible for Medical
|
|
NMXDMBA
|
Life and Disability Only
|
|
NSXDMBA
|
Deseret Premier / Deseret Secure PLUS
|
|
NXXDMBA
|
Non-medical Coverage Only (Enrolled in PDP)
|
|
P1XDMBA
|
Deseret Protect / Deseret Secure
|
|
P2XDMBA
|
Deseret Protect
|
|
PCXDMBA
|
BYU Provo / LDS Business College Large Claims Coverage
|
|
PMXDMBA
|
Senior Service Medical Plan – Post Mission
|
|
PSXDMBA
|
Deseret Protect / Deseret Secure PLUS
|
|
RAXDMBA
|
BYU Idaho Away from Campus Coverage
|
|
RFXDMBA
|
BYU Idaho On-campus Coverage
|
|
RXXDMBA
|
BYU Idaho Extended Coverage
|
|
S1XDMBA
|
Senior Service Medical Plan – 6 Months
|
|
S2XDMBA
|
Senior Service Medical Plan – 12 Months
|
|
S3XDMBA
|
Senior Service Medical Plan – 18 Months
|
|
S4XDMBA
|
Senior Service Medical Plan – 24 Months
|
|
SAXDMBA
|
Deseret Choice / Deseret Secure Assist
|
|
SCXDMBA
|
Deseret Secure
|
|
SNXDMBA
|
Deseret Premier / Senior NetworkCare
|
|
SPXDMBA
|
Deseret Secure PLUS
|
|
SSXDMBA
|
Deseret Select / Deseret Secure PLUS
|
|
Z2XDMBA
|
Medical Plan Z – Church Service
|
|
ZXXDMBA
|
Medical Plan Z
|