Example JSON Plans

Below are real-world example benefit plans structured using the Benefit Plan Standard v1.1.0. Every example was generated by a real extraction pipeline from a public SBC and verified value-by-value against the source document; the source PDFs ship alongside the examples in examples/sources/.

These examples help developers, carriers, and vendors understand how to implement the schema correctly.

👉 View the complete example library on GitHub:
https://github.com/Benefit-Plan-Standard/benefit-plan-schema/tree/main/examples

Included Examples

The following carriers currently have example JSON plans:

• Aetna (PPO 1500 and PPO 5000)
• Ambetter (Health Net of CA, Silver 94 HMO)
• Blue Cross (Florida Blue BlueOptions 505)
• Cigna (Open Access Plus)
• GatorCare (Prime EPO, self-funded)
• Kaiser Permanente (Gold 80 HMO)
• UnitedHealthcare (Choice Plus HSA Gold, POS)

Each plan demonstrates:

• Standardized plan_id fields
• Network tiers
• Deductibles & copays
• Accumulators
• Medical benefits
• Limits and special rules
• Source references