Documents & Forms Center

Medicare, Providers

Skilled Nursing Facilities MCR

PDF icon Skilled-Nursing-Facilities-MCR.pdf

Agents, Employers

Small Employer Group Benefit Plans - Side-by-Side

PDF icon 2023 ACA and ABP Benefits - External.pdf

Agents, Employers

Small Employer Group Benefit Plans - Side-by-Side

PDF icon 2023 ACA and ABP Benefits - External.pdf

Members

Small Employer Member Handbook - Effective 1-1-2022

PDF icon Small Employer Member Handbook - (310x plans effective 1-1-2022).pdf

Members

SMALL EMPLOYER MEMBER HANDBOOK - EFFECTIVE 1-1-2023

PDF icon 2022.05.SmMbrHbACA.pdf

Employers, Members

SMALL EMPLOYER MEMBER HANDBOOK - EFFECTIVE 1-1-2024+

PDF icon Small Employer Member Handbook - (310x plans effective 1-1-2024).pdf

Members

Small Employer Member Handbook - Keep Your Health Plan Updated 2020

PDF icon Small Employer Member Handbook - Keep Your Health Plan Updated 2020.pdf

Small Group Plan Design

PDF icon Small Group Plan Design.pdf

Members

SOF Amwell FAQs

PDF icon Amwell FAQ - SOF.pdf

SOF High Deductible Health HMO 01.01.23

PDF icon SOF-High-Deductible-Health-HMO-01.01.231.pdf

SOF High Deductible Health HMO 01.01.22

PDF icon SOF High Deductible Health HMO 01.01.22.pdf

SOF High Deductible Health HMO 01.01.22

PDF icon sof-high-deductible-health-hmo-01.01.22.pdf

SOF Medicare High Deductible Health HMO Plan 01.01.22

PDF icon SOF Medicare High Deductible Health HMO Plan 01.01.22.pdf

SOF Medicare High Deductible Health HMO Plan 01.01.22

PDF icon sof-medicare-high-deductible-health-hmo-plan-01.01.22.pdf

SOF Medicare High Deductible Health HMO Plan 01.01.23

PDF icon SOF-Medicare-High-Deductible-Health-HMO-Plan-01.01.231.pdf

SOF Medicare Standard HMO Tier 01.01.22

PDF icon SOF Medicare Standard HMO Tier 01.01.22.pdf

SOF Medicare Standard HMO Tier 01.01.22

PDF icon SOF-Medicare-Standard-HMO-Tier-01.01.221.pdf

Members

Standard Option I

PDF icon Standard Option I.pdf

Standard Option I 10.30.50 2022

PDF icon Standard Option I 10.30.50 2022.pdf

State of Florida

State Employees' HMO Plan SPD

PDF icon CHP-Final-HMO-SPD.pdf

State of Florida

State of Florida - State Retiree Selection

PDF icon SOF Medicare Standard HMO Tier 01.01.22 (002).pdf

Members

State of Florida 2021 SPD - Member Handbook

PDF icon State of Florida 2021 SPD - Member Handbook.pdf