2023 Plan Design Benchmark Plan Design Velcro Velcro National New Hampshire Industry HDHP (HSA/HRA) OAPIN (EPO) HRA/HSA EPO HDHP HDHP HDHP In-Network Single Deductible $1,500 $3,000 $3,000 $2,000 $3,000 In-Network Family Deductible $3,000 $6,000 $6,000 $4,000 $6,000 In-Network Coinsurance 20% 20% 10% 15% 20% In-Network Single OOP Max $3,000 $7,500 $5,500 $4,000 $4,000 In-Network Family OOP Max $6,000 $15,000 $11,000 $8,000 $8,000 HSA/HRA Fund Employee Up to $1,500 $756 $750 $500 HSA/HRA Fund Family Up to $3,000 $1,500 $1,500 $1,000 *Velcro HSA/HRA Funded through Hooked On Health 2023 EBS Services & Capabilities 63