Documents & Forms Center

2022 Silver Advantage Evidence of Coverage_Large Print

PDF icon 2022 Silver Advantage EOC - LP.pdf

Medicare

2022 Silver Advantage Schedule of Copay Sheet

PDF icon 2022-silver-advantage-schedule-of-copay-sheet.pdf

2022 Silver Advantage, Advantage Plus, and Preferred Advantage Summary of Benefits

PDF icon 2022 Silver Advantage, Advantage Plus, and Preferred Advantage Summary of Benefits_508.pdf

2022 Silver Advantage, Advantage Plus, and Preferred Advantage Summary of Benefits_Large Print

PDF icon 2022 Silver Advantage, Advantage Plus, and Preferred Advantage Summary of Benefits - LP.pdf

2022 Silver Advantage, Advantage Plus, Preferred Advantage Enrollment Application

PDF icon 2022 Silver Advantage, Advantage Plus, and Preferred Advantage Enrollment Application.pdf

2022 Small Group ACA Benefits Side-by-Side

PDF icon 2023 Small Group ACA Benefits - External.pdf

2022 State of Florida Brochure

PDF icon 2022-State-of-Florida-Brochure.pdf

2022 State of Florida Plan Comparison

PDF icon 2022 State of Florida Comparison Sheet.pdf

2022 State of Florida Retiree Advantage EOC

PDF icon 2022 State of Florida Retiree Advantage EOC.pdf

2022 State of Florida Retiree Advantage Evidence of Coverage_Large Print

PDF icon 2022 State of Florida Retiree Advantage EOC - LP.pdf

Medicare

2022 State of Florida Retiree Advantage Schedule of Copayments

PDF icon 2022-state-of-florida-retiree-advantage-schedule-of-copayments.pdf

2022 State of Florida Retiree Plan Comparisons

PDF icon 2022-SOF-RA-Plan-Comparison-Sheet_website-only_updated.pdf

Medicare

2022 TMH Schedule of Copays

PDF icon 2022-tmh-schedule-of-copays.pdf

Medicare

2022_APPA_Formulary

PDF icon 2022_APPA_Formulary.pdf

Medicare

2022_CHP_6T_NR_Formulary

PDF icon 2022_CHP_6T_NR_Formulary.pdf

2022_Retiree_Advantage_Formulary

PDF icon 2022_Retiree_Advantage_Formulary.pdf

Medicare

2022_Silver_Advantage_Formulary

PDF icon 2022_Silver_Advantage_Formulary.pdf

Medicare 2023

2023 Advantage Plus Annual Notice of Change

PDF icon 2023-ANOC-ADVANTAGE-PLUS.pdf

Medicare

2023 Advantage Plus Evidence of Coverage

PDF icon 2023-EOC-Advantage-Plus.pdf

Medicare 2023

2023 Advantage Plus Schedule of Copays

PDF icon 2023-Advantage-Plus-Copay-Sheet.pdf

2023 Annual Notice of Change Advantage Plus_Large Print

PDF icon 2023-ANOC-ADVANTAGE-PLUS-LP.pdf

2023 Annual Notice of Change Preferred Advantage_Large Print

PDF icon 2023-ANOC-PREFERRED-ADVANTAGE-LP.pdf

Medicare 2023

2023 Annual Notice of Change Retiree Advantage_Large Print

PDF icon 2023-ANOC-RETIREE-ADVANTAGE-LP.pdf

2023 Annual Notice of Change Silver Advantage_Large Print

PDF icon 2023-ANOC-SILVER-ADVANTAGE-LP.pdf