You are here:
InsEnrollmentService:modifyEnrollment
Use this service to modify the enrollments, dependents, and coverages of each enrollment for input members. You can use this service to add new or remove existing plans or add or remove dependents.
Method: modifyEnrollment
How It Works
-
Query for Group Census Members, either all members of a given
censusID, or only members specified incensusMemberIdslist. -
Search for related pre-enrolled plans linked to each member by Group Census Member Plan.
-
For each member, retrieve the plan's product, and check eligibility.
-
If product is eligible, create the Policy object.
-
To remove an enrollment, an additional entry "deletePolicies" within the member details will contain a list of policy IDs to delete. If this is not present, it is assumed that the policy is for modification.
-
To remove a dependent, an additional entry
"isDeleted": true exists in the dependents details within an enrollment.
Remote Options
Option |
Description |
|---|---|
|
Required. The enrollments list to be modified for the member. |
Input JSON
Here is a sample input JSON for censusId:
Environment |
pm_testing_daily@vlocity.com |
|---|---|
Card to simulate testing |
pm_testing_daily modify enrollment OS |
-
The input for this service has a format similar to the output for
InsEnrollmentService.getMemberEnrollments.
{
"records": {
"displaySequence": -1,
"First Name": "Allan",
"Last Name": "Border",
"Id": "a472E000001IH6tQAG",
"contactId": "0032E00002Znpm3QAB",
"deletePolicies": [
{
"Id": "02i2E00000GGExPQAX"
}
],
"enrollments": {
"totalSize": 4,
"records": [
{
"displaySequence": -1,
"Id": "02i2E00000GGExPQAX",
"productId": "01t2E00000Ne5usQAB",
"accountId": "0012E0000232F9XQAU",
"primaryMemberContactId": "0032E00002Znpm3QAB",
"productName": "Vlocity SG - Medical Plan PPO 35",
"Name": "Vlocity SG - Medical Plan PPO 35",
"EffectiveStart": "2019-09-12",
"EffectiveEnd": "2020-09-11",
"Price": 3000,
"planId": "a2N2E000003trGMUAY",
"contractId": "8002E000003lsR6QAI",
"ProductCode": "SG-PPO-35-GC",
"RecordTypeName__c": "Product",
"attributeCategories": {
"totalSize": 2,
"records": [
{
"productAttributes": {
"records": [
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 3,
"label": "Deductible",
"attributeId": "a092E00000W3ATfQAN",
"filterable": true,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_annualDed_INN"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 4,
"label": "Out Of Pocket",
"attributeId": "a092E00000W3AThQAN",
"filterable": true,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_annualOOP_INN"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 5,
"label": "Coinsurance",
"attributeId": "a092E00000W3ATjQAN",
"filterable": true,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_coinsurance_INN"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 6,
"label": "Office Visit",
"attributeId": "a092E00000W3AUBQA3",
"filterable": true,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_primaryCare_INN"
}
],
"totalSize": 4
},
"id": "a082E00000XTXs4QAH",
"Name": "SG Medical",
"Code__c": "SG_Medical",
"displaySequence": 2000
},
{
"productAttributes": {
"records": [
{
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": true,
"hasRules": false,
"displaySequence": 0,
"label": "Product Code",
"attributeId": "a092E00000W3AS0QAN",
"filterable": false,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_ProductCode"
},
{
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": true,
"hasRules": false,
"displaySequence": 1,
"label": "Product Name",
"attributeId": "a092E00000W3ARyQAN",
"filterable": false,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_ProductName"
},
{
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": true,
"hasRules": false,
"displaySequence": 2,
"label": "Product Subtype",
"attributeId": "a092E00000W3ARzQAN",
"filterable": false,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_ProductSubtype"
}
],
"totalSize": 3
},
"id": "a082E00000XTXr3QAH",
"Name": "SG Product Rating",
"Code__c": "SG_ProductRating",
"displaySequence": 2150
}
]
},
"Term": "Annual",
"childProducts": {
"totalSize": 0,
"records": [
{
"displaySequence": -1,
"productId": "01t2E00000Ne5t0QAB",
"productName": "Small Group Census",
"ProductCode": "SG-Census-RF",
"Name": "Small Group Census",
"pciId": "a322E000003w55lQAA",
"isOptional": false,
"attributeCategories": {
"totalSize": 2,
"records": [
{
"productAttributes": {
"records": [
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 0,
"label": "Employee Only Count",
"attributeId": "a092E00000W3AS3QAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "number",
"code": "SG_empOnlyCount"
},
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 1,
"label": "Employee + Spouse Count",
"attributeId": "a092E00000W3AS2QAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "number",
"code": "SG_empSpouseCount"
},
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 3,
"label": "Employee + Child Count",
"attributeId": "a092E00000W3AS5QAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "number",
"code": "SG_empChildCount"
},
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 5,
"label": "Employee + Family Count",
"attributeId": "a092E00000W3AS4QAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "number",
"code": "SG_empFamilyCount"
}
],
"totalSize": 4
},
"id": "a082E00000XTXr4QAH",
"Name": "Census",
"Code__c": "SG_Census",
"displaySequence": 2100
},
{
"productAttributes": {
"records": [
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 2,
"label": "Age",
"attributeId": "a092E00000W3ASDQA3",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "number",
"code": "SG_CM_Age"
},
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 4,
"label": "State",
"attributeId": "a092E00000W3ASCQA3",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_CM_State"
},
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 6,
"label": "Gender",
"attributeId": "a092E00000W3ASBQA3",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_CM_Gender"
},
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 7,
"label": "Smoker",
"attributeId": "a092E00000W3ASKQA3",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "checkbox",
"dataType": "text",
"code": "SG_CM_Smoker"
},
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 8,
"label": "IsPrimary",
"attributeId": "a092E00000W3ASIQA3",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "checkbox",
"dataType": "text",
"code": "SG_CM_IsPrimary"
},
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 9,
"label": "IsSpouse",
"attributeId": "a092E00000W3ASAQA3",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "checkbox",
"dataType": "text",
"code": "SG_CM_IsSpouse"
},
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 10,
"label": "Birthdate",
"attributeId": "a092E00000W3ASMQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "date",
"dataType": "date",
"code": "SG_CM_Birthdate"
},
{
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 11,
"label": "MemberClassCode",
"attributeId": "a092E00000W3AS7QAN",
"filterable": true,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_CM_MemberClassCode"
},
{
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 12,
"label": "CensusMemberId",
"attributeId": "a092E00000W3AS8QAN",
"filterable": true,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_CM_CensusMemberId"
},
{
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 13,
"label": "GroupPlans",
"attributeId": "a092E00000W3AS6QAN",
"filterable": true,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_CM_GroupPlans"
}
],
"totalSize": 10
},
"id": "a082E00000XTXr5QAH",
"Name": "CensusMember",
"Code__c": "SG_CensusMember",
"displaySequence": 2110
}
]
}
},
{
"displaySequence": -1,
"productId": "01t2E00000Ne5uTQAR",
"productName": "Emergency Services",
"ProductCode": "SG_Emerg_Serv",
"Name": "Emergency Services",
"pciId": "a322E000003w55mQAA",
"isOptional": false,
"attributeCategories": {
"totalSize": 1,
"records": [
{
"productAttributes": {
"records": [
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$175 Copay",
"disabled": false,
"readonly": false,
"label": "$175 Copay",
"id": "0"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "1"
},
{
"value": "$150 Copay",
"disabled": false,
"readonly": false,
"label": "$150 Copay",
"id": "2"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 1,
"label": "Ambulance",
"attributeId": "a092E00000W3ATJQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_ambula_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "$175 Copay",
"disabled": false,
"readonly": false,
"label": "$175 Copay",
"id": "0"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "1"
},
{
"value": "$150 Copay",
"disabled": false,
"readonly": false,
"label": "$150 Copay",
"id": "2"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 2,
"label": "Ambulance",
"attributeId": "a092E00000W3ATKQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_ambula_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$250 Copay",
"disabled": false,
"readonly": false,
"label": "$250 Copay",
"id": "0"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "1"
},
{
"value": "$175 Copay",
"disabled": false,
"readonly": false,
"label": "$175 Copay",
"id": "2"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "3"
},
{
"value": "$125 Copay",
"disabled": false,
"readonly": false,
"label": "$125 Copay",
"id": "4"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 3,
"label": "Emergency Room",
"attributeId": "a092E00000W3ATLQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_emergRoom_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "$500 Copay",
"disabled": false,
"readonly": false,
"label": "$500 Copay",
"id": "0"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "1"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "2"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 4,
"label": "Emergency Room",
"attributeId": "a092E00000W3ATMQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_emergRoom_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$100 Copay",
"disabled": false,
"readonly": false,
"label": "$100 Copay",
"id": "0"
},
{
"value": "$150 Copay",
"disabled": false,
"readonly": false,
"label": "$150 Copay",
"id": "1"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "2"
},
{
"value": "$50 Copay",
"disabled": false,
"readonly": false,
"label": "$50 Copay",
"id": "3"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "4"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 5,
"label": "Urgent Care Facility",
"attributeId": "a092E00000W3ATNQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_urgentCareFacility_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "1"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "2"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 6,
"label": "Urgent Care Facility",
"attributeId": "a092E00000W3ATOQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_urgentCareFacility_OON"
}
],
"totalSize": 6
},
"id": "a082E00000XTXs4QAH",
"Name": "SG Medical",
"Code__c": "SG_Medical",
"displaySequence": 2000
}
]
},
"attributeSelectedValues": "{\"SG_urgentCareFacility_OON\":\"Not Covered\",\"SG_urgentCareFacility_INN\":\"$100 Copay\",\"SG_emergRoom_OON\":\"$500 Copay\",\"SG_emergRoom_INN\":\"$250 Copay\",\"SG_ambula_OON\":\"$175 Copay\",\"SG_ambula_INN\":\"$175 Copay\"}",
"Id": "a3n2E000005DRMdQAO"
},
{
"displaySequence": -1,
"productId": "01t2E00000Ne5uUQAR",
"productName": "Health Savings Account",
"ProductCode": "SG_HSA",
"Name": "Health Savings Account",
"pciId": "a322E000003w55nQAA",
"isOptional": false,
"attributeCategories": {
"totalSize": 1,
"records": [
{
"productAttributes": {
"records": [
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "Yes",
"disabled": false,
"readonly": false,
"label": "Yes",
"id": "0"
},
{
"value": "No",
"disabled": false,
"readonly": false,
"label": "No",
"id": "1"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 7,
"label": "Health Savings Account Eligible",
"attributeId": "a092E00000W3ATPQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_HSA _INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Yes",
"disabled": false,
"readonly": false,
"label": "Yes",
"id": "0"
},
{
"value": "No",
"disabled": false,
"readonly": false,
"label": "No",
"id": "1"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 8,
"label": "Health Savings Account Eligible",
"attributeId": "a092E00000W3ATQQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_HSA _OON"
}
],
"totalSize": 2
},
"id": "a082E00000XTXs4QAH",
"Name": "SG Medical",
"Code__c": "SG_Medical",
"displaySequence": 2000
}
]
},
"attributeSelectedValues": "{\"SG_HSA _OON\":\"Yes\",\"SG_HSA _INN\":\"Yes\"}",
"Id": "a3n2E000005DRMeQAO"
},
{
"displaySequence": -1,
"productId": "01t2E00000Ne5uVQAR",
"productName": "Hospital Based Services",
"ProductCode": "SG_Hosp_based_Serv",
"Name": "Hospital Based Services",
"pciId": "a322E000003w55oQAA",
"isOptional": false,
"attributeCategories": {
"totalSize": 1,
"records": [
{
"productAttributes": {
"records": [
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "0"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "1"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 9,
"label": "In-Patient Hospital Care",
"attributeId": "a092E00000W3ATRQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_inPatientHosp_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "1"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "2"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 10,
"label": "In-Patient Hospital Care",
"attributeId": "a092E00000W3ATSQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_inPatientHosp_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "0"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "1"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 10,
"label": "In-Patient Mental Health",
"attributeId": "a092E00000W3ATTQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_inpatientMental_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "1"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "2"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 12,
"label": "In-Patient Mental Health",
"attributeId": "a092E00000W3ATUQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_inpatientMental_OON"
}
],
"totalSize": 4
},
"id": "a082E00000XTXs4QAH",
"Name": "SG Medical",
"Code__c": "SG_Medical",
"displaySequence": 2000
}
]
},
"attributeSelectedValues": "{\"SG_inpatientMental_OON\":\"Not Covered\",\"SG_inpatientMental_INN\":\"20% Coins After Ded\",\"SG_inPatientHosp_OON\":\"Not Covered\",\"SG_inPatientHosp_INN\":\"20% Coins After Ded\"}",
"Id": "a3n2E000005DRMfQAO"
},
{
"displaySequence": -1,
"productId": "01t2E00000Ne5uWQAR",
"productName": "Laboratory Outpatient and Professional Services",
"ProductCode": "SG_Lab_Outpat_Prof",
"Name": "Laboratory Outpatient and Professional Services",
"pciId": "a322E000003w55pQAA",
"isOptional": false,
"attributeCategories": {
"totalSize": 1,
"records": [
{
"productAttributes": {
"records": [
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$50 Copay",
"disabled": false,
"readonly": false,
"label": "$50 Copay",
"id": "0"
},
{
"value": "$35 Copay",
"disabled": false,
"readonly": false,
"label": "$35 Copay",
"id": "1"
},
{
"value": "$75 Copay",
"disabled": false,
"readonly": false,
"label": "$75 Copay",
"id": "2"
},
{
"value": "$125 Copay",
"disabled": false,
"readonly": false,
"label": "$125 Copay",
"id": "3"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "4"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "5"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 13,
"label": "Outpatient Lab/X-Ray",
"attributeId": "a092E00000W3ATVQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_outpatientXray_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "1"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "2"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 14,
"label": "Outpatient Lab/X-Ray",
"attributeId": "a092E00000W3ATWQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_outpatientXray_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "0"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "1"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 15,
"label": "Outpatient Mental Health",
"attributeId": "a092E00000W3ATXQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_outpatientMental_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "0"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "1"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "2"
},
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 16,
"label": "Outpatient Mental Health",
"attributeId": "a092E00000W3ATYQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_outpatientMental_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "0"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "1"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 17,
"label": "Outpatient Rehab Services",
"attributeId": "a092E00000W3ATZQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_outpatientRehab_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "1"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "2"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 18,
"label": "Outpatient Rehab Services",
"attributeId": "a092E00000W3ATaQAN",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_outpatientRehab_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$75 Copay",
"disabled": false,
"readonly": false,
"label": "$75 Copay",
"id": "0"
},
{
"value": "$100 Copay",
"disabled": false,
"readonly": false,
"label": "$100 Copay",
"id": "1"
},
{
"value": "$150 Copay",
"disabled": false,
"readonly": false,
"label": "$150 Copay",
"id": "2"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "3"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "4"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 19,
"label": "Outpatient Surgery",
"attributeId": "a092E00000W3ATbQAN",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_outpatientSurg_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "1"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "2"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 20,
"label": "Outpatient Surgery",
"attributeId": "a092E00000W3ATcQAN",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_outpatientSurg_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "0"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "1"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 21,
"label": "Skilled Nursing Facility Care",
"attributeId": "a092E00000W3ATdQAN",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_skilledNursing_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "1"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "2"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 22,
"label": "Skilled Nursing Facility Care",
"attributeId": "a092E00000W3ATeQAN",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_skilledNursing_OON"
}
],
"totalSize": 10
},
"id": "a082E00000XTXs4QAH",
"Name": "SG Medical",
"Code__c": "SG_Medical",
"displaySequence": 2000
}
]
},
"attributeSelectedValues": "{\"SG_skilledNursing_OON\":\"Not Covered\",\"SG_skilledNursing_INN\":\"20% Coins After Ded\",\"SG_outpatientSurg_OON\":\"Not Covered\",\"SG_outpatientSurg_INN\":\"$75 Copay\",\"SG_outpatientRehab_OON\":\"Not Covered\",\"SG_outpatientRehab_INN\":\"20% Coins After Ded\",\"SG_outpatientMental_OON\":\"30% Coins After Ded\",\"SG_outpatientMental_INN\":\"20% Coins After Ded\",\"SG_outpatientXray_OON\":\"Not Covered\",\"SG_outpatientXray_INN\":\"$50 Copay\"}",
"Id": "a3n2E000005DRMgQAO"
},
{
"displaySequence": -1,
"productId": "01t2E00000Ne5uYQAR",
"productName": "Medical Plan Information",
"ProductCode": "SG_Med_Base",
"Name": "Medical Plan Information",
"pciId": "a322E000003w55qQAA",
"isOptional": false,
"attributeCategories": {
"totalSize": 1,
"records": [
{
"productAttributes": {
"records": [
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$500 Indiv | $1,000 Fam",
"disabled": false,
"readonly": false,
"label": "$500 Indiv | $1,000 Fam",
"id": "0"
},
{
"value": "$5,000 Indiv | $10,000 Fam",
"disabled": false,
"readonly": false,
"label": "$5,000 Indiv | $10,000 Fam",
"id": "1"
},
{
"value": "$1,000 Indiv| $2,000 Fam",
"disabled": false,
"readonly": false,
"label": "$1,000 Indiv | $2,000 Fam",
"id": "2"
},
{
"value": "$7,500 Indiv | $15,000 Fam",
"disabled": false,
"readonly": false,
"label": "$7,500 Indiv | $15,000 Fam",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 23,
"label": "Annual Deductible",
"attributeId": "a092E00000W3ATfQAN",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_annualDed_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "$1,000 Indiv | $2,000 Fam",
"disabled": false,
"readonly": false,
"label": "$1,000 Indiv | $2,000 Fam",
"id": "1"
},
{
"value": "$10,000 Indiv | $20,000 Fam",
"disabled": false,
"readonly": false,
"label": "$10,000 Indiv | $20,000 Fam",
"id": "2"
},
{
"value": "$2,000 Indiv | $4,000 Fam",
"disabled": false,
"readonly": false,
"label": "$2,000 Indiv | $4,000 Fam",
"id": "3"
},
{
"value": "$15,000 Indiv | $30,000 Fam",
"disabled": false,
"readonly": false,
"label": "$15,000 Indiv | $30,000 Fam",
"id": "4"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 24,
"label": "Annual Deductible",
"attributeId": "a092E00000W3ATgQAN",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_annualDed_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$1,500 Indiv | $3,000 Fam",
"disabled": false,
"readonly": false,
"label": "$1,500 Indiv | $3,000 Fam",
"id": "0"
},
{
"value": "$1,750 Indiv | $3,500 Fam",
"disabled": false,
"readonly": false,
"label": "$1,750 Indiv | $3,500 Fam",
"id": "1"
},
{
"value": "$7,500 Indiv | $15,000 Fam",
"disabled": false,
"readonly": false,
"label": "$7,500 Indiv | $15,000 Fam",
"id": "2"
},
{
"value": "$10,000 Indiv | $25,000 Fam",
"disabled": false,
"readonly": false,
"label": "$10,000 Indiv | $25,000 Fam",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 25,
"label": "Annual OOP Limit",
"attributeId": "a092E00000W3AThQAN",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_annualOOP_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "$3,500 Indiv | $7,000 Fam",
"disabled": false,
"readonly": false,
"label": "$3,500 Indiv | $7,000 Fam",
"id": "1"
},
{
"value": "$15,000 Indiv | $30,000 Fam",
"disabled": false,
"readonly": false,
"label": "$15,000 Indiv | $30,000 Fam",
"id": "2"
},
{
"value": "$3,000 Indiv | $6,000 Fam",
"disabled": false,
"readonly": false,
"label": "$3,000 Indiv | $6,000 Fam",
"id": "3"
},
{
"value": "$20,000 Indiv | $50,000 Fam",
"disabled": false,
"readonly": false,
"label": "$20,000 Indiv | $50,000 Fam",
"id": "4"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 26,
"label": "Annual OOP Limit",
"attributeId": "a092E00000W3ATiQAN",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_annualOOP_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "20% After Ded",
"disabled": false,
"readonly": false,
"label": "20% After Ded",
"id": "0"
},
{
"value": "30% After Ded",
"disabled": false,
"readonly": false,
"label": "30% After Ded",
"id": "1"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 27,
"label": "Coinsurance",
"attributeId": "a092E00000W3ATjQAN",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_coinsurance_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "30% After Ded",
"disabled": false,
"readonly": false,
"label": "30% After Ded",
"id": "1"
},
{
"value": "40% After Ded",
"disabled": false,
"readonly": false,
"label": "40% After Ded",
"id": "2"
},
{
"value": "50% After Ded",
"disabled": false,
"readonly": false,
"label": "50% After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 28,
"label": "Coinsurance",
"attributeId": "a092E00000W3ATkQAN",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_coinsurance_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "Unlimited",
"disabled": false,
"readonly": false,
"label": "Unlimited",
"id": "0"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 29,
"label": "Lifetime Maximum",
"attributeId": "a092E00000W3ATlQAN",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_lifetimeMax_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Unlimited",
"disabled": false,
"readonly": false,
"label": "Unlimited",
"id": "0"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 30,
"label": "Lifetime Maximum",
"attributeId": "a092E00000W3ATmQAN",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_lifetimeMax_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$0 Copay",
"disabled": false,
"readonly": false,
"label": "$0 Copay",
"id": "0"
},
{
"value": "$0",
"disabled": false,
"readonly": false,
"label": "$0",
"id": "1"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 31,
"label": "Preventive Services",
"attributeId": "a092E00000W3ATnQAN",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_preventative_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "$0 Copay",
"disabled": false,
"readonly": false,
"label": "$0 Copay",
"id": "0"
},
{
"value": "$0",
"disabled": false,
"readonly": false,
"label": "$0",
"id": "1"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 32,
"label": "Preventive Services",
"attributeId": "a092E00000W3AToQAN",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_preventative_OON"
}
],
"totalSize": 10
},
"id": "a082E00000XTXs4QAH",
"Name": "SG Medical",
"Code__c": "SG_Medical",
"displaySequence": 2000
}
]
},
"attributeSelectedValues": "{\"SG_preventative_OON\":\"$0 Copay\",\"SG_preventative_INN\":\"$0 Copay\",\"SG_lifetimeMax_OON\":\"Unlimited\",\"SG_lifetimeMax_INN\":\"Unlimited\",\"SG_coinsurance_OON\":\"Not Covered\",\"SG_coinsurance_INN\":\"20% After Ded\",\"SG_annualOOP_OON\":\"Not Covered\",\"SG_annualOOP_INN\":\"$1,500 Indiv | $3,000 Fam\",\"SG_annualDed_OON\":\"Not Covered\",\"SG_annualDed_INN\":\"$500 Indiv | $1,000 Fam\"}",
"Id": "a3n2E000005DRMhQAO"
},
{
"displaySequence": -1,
"productId": "01t2E00000Ne5uZQAR",
"productName": "Primary Care Visit",
"ProductCode": "SG_Pri_Care_Visit",
"Name": "Primary Care Visit",
"pciId": "a322E000003w55rQAA",
"isOptional": false,
"attributeCategories": {
"totalSize": 1,
"records": [
{
"productAttributes": {
"records": [
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$25 Copay",
"disabled": false,
"readonly": false,
"label": "$25 Copay",
"id": "0"
},
{
"value": "$35 Copay",
"disabled": false,
"readonly": false,
"label": "$35 Copay",
"id": "1"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "2"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 55,
"label": "Primary Care Visit",
"attributeId": "a092E00000W3AUBQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_primaryCare_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "1"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "2"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 56,
"label": "Primary Care Visit",
"attributeId": "a092E00000W3AUCQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_primaryCare_OON"
}
],
"totalSize": 2
},
"id": "a082E00000XTXs4QAH",
"Name": "SG Medical",
"Code__c": "SG_Medical",
"displaySequence": 2000
}
]
},
"attributeSelectedValues": "{\"SG_primaryCare_OON\":\"Not Covered\",\"SG_primaryCare_INN\":\"$25 Copay\"}",
"Id": "a3n2E000005DRMiQAO"
},
{
"displaySequence": -1,
"productId": "01t2E00000Ne5ubQAB",
"productName": "Specialist Visit",
"ProductCode": "SG_Specialist",
"Name": "Specialist Visit",
"pciId": "a322E000003w55sQAA",
"isOptional": false,
"attributeCategories": {
"totalSize": 1,
"records": [
{
"productAttributes": {
"records": [
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$50 Copay",
"disabled": false,
"readonly": false,
"label": "$50 Copay",
"id": "0"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "1"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "2"
},
{
"value": "$75 Copay",
"disabled": false,
"readonly": false,
"label": "$75 Copay",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 57,
"label": "Specialist",
"attributeId": "a092E00000W3AUDQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_specialist_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "1"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "2"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 58,
"label": "Specialist",
"attributeId": "a092E00000W3AUEQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_specialist_OON"
}
],
"totalSize": 2
},
"id": "a082E00000XTXs4QAH",
"Name": "SG Medical",
"Code__c": "SG_Medical",
"displaySequence": 2000
}
]
},
"attributeSelectedValues": "{\"SG_specialist_OON\":\"Not Covered\",\"SG_specialist_INN\":\"$50 Copay\"}",
"Id": "a3n2E000005DRMjQAO"
},
{
"displaySequence": -1,
"productId": "01t2E00000Ne5uaQAB",
"productName": "X-rays and Diagnostic Imaging",
"ProductCode": "SG_Xray_Diagnostic",
"Name": "X-rays and Diagnostic Imaging",
"pciId": "a322E000003w55tQAA",
"isOptional": false,
"attributeCategories": {
"totalSize": 1,
"records": [
{
"productAttributes": {
"records": [
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$125 Copay",
"disabled": false,
"readonly": false,
"label": "$125 Copay",
"id": "0"
},
{
"value": "$150 Copay",
"disabled": false,
"readonly": false,
"label": "$150 Copay",
"id": "1"
},
{
"value": "$250 Copay",
"disabled": false,
"readonly": false,
"label": "$250 Copay",
"id": "2"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "3"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "4"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 59,
"label": "Imaging",
"attributeId": "a092E00000W3AUFQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_imaging_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "1"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "2"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 60,
"label": "Imaging",
"attributeId": "a092E00000W3AUGQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_imaging_OON"
}
],
"totalSize": 2
},
"id": "a082E00000XTXs4QAH",
"Name": "SG Medical",
"Code__c": "SG_Medical",
"displaySequence": 2000
}
]
},
"attributeSelectedValues": "{\"SG_imaging_OON\":\"Not Covered\",\"SG_imaging_INN\":\"$125 Copay\"}",
"Id": "a3n2E000005DRMkQAO"
},
{
"displaySequence": -1,
"productId": "01t2E00000Ne5ucQAB",
"productName": "Prescription Drugs",
"ProductCode": "SG_Prescript_drugs",
"Name": "Prescription Drugs",
"pciId": "a322E000003w55uQAA",
"isOptional": false,
"attributeCategories": {
"totalSize": 1,
"records": [
{
"productAttributes": {
"records": [
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$37.50 Copay",
"disabled": false,
"readonly": false,
"label": "$37.50 Copay",
"id": "0"
},
{
"value": "$62.50 Copay",
"disabled": false,
"readonly": false,
"label": "$62.50 Copay",
"id": "1"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "2"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 35,
"label": "Mail Order Drugs–Tier 1 (90-Day Supply)",
"attributeId": "a092E00000W3ATrQAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_mailOrderDrugsT1_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "1"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "2"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 36,
"label": "Mail Order Drugs–Tier 1 (90-Day Supply)",
"attributeId": "a092E00000W3ATsQAN",
"filterable": false,..
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_mailOrderDrugsT1_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$87.50 Copay",
"disabled": false,
"readonly": false,
"label": "$87.50 Copay",
"id": "0"
},
{
"value": "$125 Copay",
"disabled": false,
"readonly": false,
"label": "$125 Copay",
"id": "1"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "2"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 37,
"label": "Mail Order Drugs–Tier 2 (90-Day Supply)",
"attributeId": "a092E00000W3ATtQAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_mailOrderDrugsT2_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "1"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "2"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 38,
"label": "Mail Order Drugs–Tier 2 (90-Day Supply)",
"attributeId": "a092E00000W3ATuQAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_mailOrderDrugsT2_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$125 Copay",
"disabled": false,
"readonly": false,
"label": "$125 Copay",
"id": "0"
},
{
"value": "$187.50 Copay",
"disabled": false,
"readonly": false,
"label": "$187.50 Copay",
"id": "1"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "2"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 39,
"label": "Mail Order Drugs–Tier 3 (90-Day Supply)",
"attributeId": "a092E00000W3ATvQAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_mailOrderDrugsT3_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "1"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "2"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 40,
"label": "Mail Order Drugs–Tier 3 (90-Day Supply)",
"attributeId": "a092E00000W3ATwQAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_mailOrderDrugsT3_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$187.50 Copay",
"disabled": false,
"readonly": false,
"label": "$187.50 Copay",
"id": "0"
},
{
"value": "$375.00 Copay",
"disabled": false,
"readonly": false,
"label": "$375.00 Copay",
"id": "1"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "2"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 41,
"label": "Mail Order Drugs–Tier 4 (90-Day Supply)",
"attributeId": "a092E00000W3ATxQAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_mailOrderDrugsT4_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "1"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "2"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 42,
"label": "Mail Order Drugs–Tier 4 (90-Day Supply)",
"attributeId": "a092E00000W3ATyQAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_mailOrderDrugsT4_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$1,250 Copay",
"disabled": false,
"readonly": false,
"label": "$1,250 Copay",
"id": "0"
},
{
"value": "$1,875 Copay",
"disabled": false,
"readonly": false,
"label": "$1,875 Copay",
"id": "1"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "2"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 43,
"label": "Mail Order Drugs–Tier 5 (90-Day Supply)",
"attributeId": "a092E00000W3ATzQAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_mailOrderDrugsT5_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "1"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "2"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 44,
"label": "Mail Order Drugs–Tier 5 (90-Day Supply)",
"attributeId": "a092E00000W3AU0QAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_mailOrderDrugsT5_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$15 Copay",
"disabled": false,
"readonly": false,
"label": "$15 Copay",
"id": "0"
},
{
"value": "$25 Copay",
"disabled": false,
"readonly": false,
"label": "$25 Copay",
"id": "1"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "2"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 45,
"label": "Retail Drugs–Tier 1",
"attributeId": "a092E00000W3AU1QAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_RetailDrugsT1_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "1"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "2"
},
{
"value": "$55 Copay",
"disabled": false,
"readonly": false,
"label": "$55 Copay",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 46,
"label": "Retail Drugs–Tier 1",
"attributeId": "a092E00000W3AU2QAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_RetailDrugsT1_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$35 Copay",
"disabled": false,
"readonly": false,
"label": "$35 Copay",
"id": "0"
},
{
"value": "$50 Copay",
"disabled": false,
"readonly": false,
"label": "$50 Copay",
"id": "1"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "2"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 47,
"label": "Retail Drugs–Tier 2",
"attributeId": "a092E00000W3AU3QAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_RetailDrugsT2_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "1"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "2"
},
{
"value": "$75 Copay",
"disabled": false,
"readonly": false,
"label": "$75 Copay",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 48,
"label": "Retail Drugs–Tier 2",
"attributeId": "a092E00000W3AU4QAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_RetailDrugsT2_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$50 Copay",
"disabled": false,
"readonly": false,
"label": "$50 Copay",
"id": "0"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "1"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "2"
},
{
"value": "$75 Copay",
"disabled": false,
"readonly": false,
"label": "$75 Copay",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 49,
"label": "Retail Drugs–Tier 3",
"attributeId": "a092E00000W3AU5QAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_RetailDrugsT3_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "1"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "2"
},
{
"value": "$95 Copay",
"disabled": false,
"readonly": false,
"label": "$95 Copay",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 50,
"label": "Retail Drugs–Tier 3",
"attributeId": "a092E00000W3AU6QAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_RetailDrugsT3_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$75 Copay After Ded",
"disabled": false,
"readonly": false,
"label": "$75 Copay After Ded",
"id": "0"
},
{
"value": "$150 Copay After Ded",
"disabled": false,
"readonly": false,
"label": "$150 Copay After Ded",
"id": "1"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "2"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 51,
"label": "Retail Drugs–Tier 4",
"attributeId": "a092E00000W3AU7QAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_RetailDrugsT4_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "$175 Copay After Ded",
"disabled": false,
"readonly": false,
"label": "$175 Copay After Ded",
"id": "1"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "2"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 52,
"label": "Retail Drugs–Tier 4",
"attributeId": "a092E00000W3AU8QAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_RetailDrugsT4_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "$500 Copay After Ded",
"disabled": false,
"readonly": false,
"label": "$500 Copay After Ded",
"id": "1"
},
{
"value": "$750 Copay After Ded",
"disabled": false,
"readonly": false,
"label": "$750 Copay After Ded",
"id": "2"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "3"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "4"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 53,
"label": "Retail Drugs–Tier 5",
"attributeId": "a092E00000W3AU9QAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_RetailDrugsT5_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "1"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "2"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "3"
},
{
"value": "$525 Copay After Ded",
"disabled": false,
"readonly": false,
"label": "$525 Copay After Ded",
"id": "4"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 54,
"label": "Retail Drugs–Tier 5",
"attributeId": "a092E00000W3AUAQA3",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_RetailDrugsT5_OON"
}
],
"totalSize": 20
},
"id": "a082E00000XTXs4QAH",
"Name": "SG Medical",
"Code__c": "SG_Medical",
"displaySequence": 2000
}
]
},
"attributeSelectedValues": "{\"SG_RetailDrugsT5_OON\":\"Not Covered\",\"SG_RetailDrugsT5_INN\":\"Not Covered\",\"SG_RetailDrugsT4_OON\":\"Not Covered\",\"SG_RetailDrugsT4_INN\":\"$75 Copay After Ded\",\"SG_RetailDrugsT3_OON\":\"Not Covered\",\"SG_RetailDrugsT3_INN\":\"$50 Copay\",\"SG_RetailDrugsT2_OON\":\"Not Covered\",\"SG_RetailDrugsT2_INN\":\"$35 Copay\",\"SG_RetailDrugsT1_OON\":\"Not Covered\",\"SG_RetailDrugsT1_INN\":\"$15 Copay\",\"SG_mailOrderDrugsT5_OON\":\"Not Covered\",\"SG_mailOrderDrugsT5_INN\":\"$1,250 Copay\",\"SG_mailOrderDrugsT4_OON\":\"Not Covered\",\"SG_mailOrderDrugsT4_INN\":\"$187.50 Copay\",\"SG_mailOrderDrugsT3_OON\":\"Not Covered\",\"SG_mailOrderDrugsT3_INN\":\"$125 Copay\",\"SG_mailOrderDrugsT2_OON\":\"Not Covered\",\"SG_mailOrderDrugsT2_INN\":\"$87.50 Copay\",\"SG_mailOrderDrugsT1_OON\":\"Not Covered\",\"SG_mailOrderDrugsT1_INN\":\"$37.50 Copay\"}",
"Id": "a3n2E000005DRMlQAO"
}
]
},
"dependents": {
"totalSize": 0,
"records": [
{
"displaySequence": -1,
"Id": "a3p2E000002dovOQAQ",
"First Name": "Laura",
"Last Name": "Border",
"contactId": "0032E00002Znpm4QAB",
"partyId": "a0x2E00000BO8d4QAD"
}
]
}
}
]
}
}
}
