Documents & Forms Center

2025 Retiree Advantage Enrollment Application

PDF icon 2025-Retiree-Advantage-Plan-Enrollment-Application-V-2.pdf

Medicare 2025

2025 Retiree Advantage Enrollment Application

PDF icon 2025-Retiree-Advantage-Plan-Enrollment-Application-V-2.pdf

2025 Retiree Advantage Evidence of Coverage

PDF icon H5938-802-EGWP-EOC-2025-FINAL2_508.pdf

Medicare 2025, Medicare

2025 Retiree Advantage Summary of Benefits

PDF icon H5938-802-EGWP-HMO-SB-2025-FINAL_508.pdf

Medicare 2025

2025 SAPPA Enrollment Application

PDF icon 2025-SAPPA-Enrollment-Application.pdf

Members

2025 SBC - TMH & Medicus

PDF icon PrincipalChoice-15.50.100-Medicus-TMH-Bariatric_1-1-25.pdf

Medicare 2025

2025 Silver Adv Formulary

PDF icon 2025-Silver-Adv-Formulary.pdf

2025 Silver Advantage Annual Notice of Change

PDF icon H5938-008-HMO-ANOC-2025-R4.pdf

2025 Silver Advantage Evidence of Coverage

PDF icon H5938-008-HMO-EOC-2025-FINAL_508.pdf

2025 Silver Advantage, Advantage Plus, and Preferred Advantage Enrollment Application

PDF icon 2025 SAPPA Enrollment Application.pdf

2025 Silver Advantage, Advantage Plus, and Preferred Advantage Summary of Benefits

PDF icon H5938-008-001-006-HMO-SB-2025-FINAL_508.pdf

State of Florida

2025 State of Florida Benefit Brochure

PDF icon 2025 _ SOF Brochure.pdf

2025 State of Florida Comparison Sheet

PDF icon 2025-State-of-Florida-Comparison-Sheet-(002).pdf

2025 State of Florida Retiree Advantage Evidence of Coverage

PDF icon H5938-804-EGWP-EOC-2025-FINAL2_508.pdf

Medicare 2025, State of Florida

2025 State of Florida Retiree Advantage Plan Comparison

PDF icon 2025 State of Florida Comparison Sheet.pdf

2025 State of Florida Retiree Advantage Schedule of Copayments

PDF icon 2025-State-of-Florida-Retiree-Advantage-Schedule-of-Copayments.pdf

2025 State of Florida Retiree Classic Schedule of Copayments

PDF icon 2025-State-of-Florida-Retiree-Classic-Schedule-of-Copayments.pdf

2025 TMH & Medicus Schedule of Copayments

PDF icon 2025_TMH-Medicus_Schedule.pdf

2025 TMH Schedule of Copays

PDF icon 2025-TMH-Schedule-of-Copays.pdf

Medicare 2025

2025 Transition Policy

PDF icon CY2025-CHP-Medicare-Transition-Policy.pdf

Members

2025 FEHB Benefits Brochure

PDF icon FEHB-2025-RI-73-197 10302024.pdf

22-23 Large Group Benefits

PDF icon 2023 Large Group Benefits - External.pdf

Members

24-CHP-021 Healthline Newsletter Fall Winter 2024

PDF icon 24-chp-021-healthline-newsletter-fall-winter-2024.pdf

Agents, Employers

3101 - Platinum 153050 2020

PDF icon 3101 Platinum 2020.pdf