Select a plan type below to show documents specific to that plan type. To view documents included in Medicare Advantage sales kits, click here.
Broker documents
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2019 Individual and Family Health Insurance Application
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2019 Individual and Family Policy
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HIPAA Authorization to Use and Disclose Protected Health Information
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Individual and Family Benefit Summary
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Individual and Family Customer Guide
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Member handbook
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Member Prescription Drug Reimbursement Request
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Services that may require prior authorization
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Subscriber Change Request