2100 REF Segment – Class of Contract

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
DSXDMBA Deseret Select / Deseret Alliance
ESXDMBA SENIOR SERVICE MEDICAL PLAN - EXTENDED SERVICE
GMXDMBA DESERET CHOICE / DESERET ALLIANCE
HMXDMBA Deseret Choice Hawaii / Deseret Alliance
HPXDMBA Deseret Premier / Deseret Alliance
HSXDMBA DESERET CHOICE HAWAII / DESERET ALLIANCE PLUS
HXXDMBA BYU HAWAII EXTENDED COVERAGE
LPXDMBA Deseret Value / Deseret Alliance
LSXDMBA DESERET VALUE / DESERET ALLIANCE PLUS
M1XDMBA Deseret Alliance
M2XDMBA DESERET ALLIANCE PLUS
MPXDMBA Missionary Medical / Mission President
MSXDMBA DESERET CHOICE / DESERET ALLIANCE PLUS
MXXDMBA Missionary Medical
NEXDMBA Not Eligible for Medical
NMXDMBA Life and Disability Only
NSXDMBA DESERET PREMIER / DESERET ALLIANCE PLUS
NXXDMBA Non-medical Coverage Only (Enrolled in PDP)
OCXDMBA Optional Coverage Only
P1XDMBA Deseret Protect / Deseret Alliance
P2XDMBA Deseret Protect
PCXDMBA BYU Provo / LDS Business College Large Claims Coverage
PMXDMBA SENIOR SERVICE MEDICAL PLAN - POST MISSION
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 ALLIANCE ASSIST
WXXDMBA Waived All Coverage
Z2XDMBA Medical Plan Z – Church Service
ZXXDMBA Medical Plan Z