Documents & Forms Center

Medicare 2023

2023 Retiree Advantage Enrollment Application

PDF icon 2023 Retiree Advantage Plan Enrollment Application.pdf

Medicare

2023 Retiree Advantage Evidence of Coverage

PDF icon 2023-Retiree-Advantage-Evidence-of-Coverage.pdf

Medicare 2023

2023 Retiree Advantage Summary of Benefits

PDF icon 2023-Retiree-Advantage-Summary-of-Benefits.pdf

Medicare 2023

2023 Retiree Advantage Summary of Benefits

PDF icon 2023 Retiree Advantage Summary of Benefits.pdf

2023 Retirement Advantage Formulary

PDF icon 2023-RA-Formulary-10.2.2023.pdf

Medicare 2023, Medicare

2023 Silver Advantage Annual Notice of Change

PDF icon 2023-ANOC-SILVER-ADVANTAGE.pdf

Medicare

2023 Silver Advantage Evidence of Coverage

PDF icon 2023-Silver-Advantage-EOC.pdf

Medicare 2023

2023 Silver Advantage Schedule of Copays

PDF icon 2023-Silver-Advantage-Schedule-of-Copay.pdf

Medicare 2023

2023 Silver Advantage, Advantage Plus, and Preferred Advantage Comparison Sheet

PDF icon 2023-APPA-Silver-Advantage-Comparison-Sheet.pdf

Medicare 2023

2023 Silver Advantage, Advantage Plus, and Preferred Advantage Enrollment Application

PDF icon 2023-Silver Advantage-Advantage Plus-Preferred Advantage-Enrollment-Application.pdf

Medicare

2023 Silver Advantage, Advantage Plus, and Preferred Advantage Summary of Benefits

PDF icon 2023-SAPPA-Summary-of-Benefits.pdf

2023 Small Group ACA Benefits

PDF icon 2023 Small Group ACA Benefits - External.pdf

State of Florida

2023 SOF Brochure

PDF icon 2022-_-SOF-Brochure.pdf

2023 SOF Brochure

PDF icon 2023_SOF_Brochure.pdf

2023 State of Florida Dual Eligible Schedule of Copays

PDF icon 2023-SOF-DE-Schedule-of-Copayments.pdf

Medicare

2023 State of Florida Retiree Advantage Evidence of Coverage

PDF icon 2023-SOF-Retiree-Advantage-Evidence-of-Coverage.pdf

Medicare 2023

2023 State of Florida Retiree Advantage Plan Comparison

PDF icon 2023 State of Florida Retiree Advantage Plan Comparison Sheet.pdf

Medicare

2023 State of Florida Retiree Advantage Schedule of Copays

PDF icon 2023-State-of-Florida-Retiree-Advantage-Schedule-of-Copayments.pdf

Medicare

2023 State of Florida Retiree Classic Schedule of Copays

PDF icon 2023-State-of-Florida-Retiree-Classic-Schedule-of-Copayments.pdf

Medicare

2023 TMH Schedule of Copays

PDF icon 2023-TMH-schedule-of-copays.pdf

Agents, Employers

2023-2024 Large Group Benefits - Side-by-Side

PDF icon 2023-24 Large Group Benefits - FINAL.pdf

2024 Advantage Plus Annual Notice of Change

PDF icon 2024HMO-ANOC-Advan-Plus-2024_508.pdf

2024 Advantage Plus Annual Notice of Change Large Print

PDF icon LP_2024-Advantage-Plus-001-HMO-ANOC-2024-R6.pdf