| Plan Name | Summary of Benefits and Coverage (SBC) | Certificate of Insurance |
| DakotaBlue Platinum 90 1000 | DakotaBlue Platinum 90 1000 - Altru DakotaBlue Platinum 90 1000 - Trinity | Off-Exchange DakotaBlue Platinum 90 1000 - Altru Off-Exchange DakotaBlue Platinum 90 1000 - Trinity |