Documents & Forms Center

2024 SOF Comparison

PDF icon 2024_SOF_RA_Comparison.pdf

Medicare 2024

2024 SOF DE Schedule of Copayments

PDF icon 2024-SOF-DE-Schedule-of-Copayments.pdf

2024 SOF Retiree Advantage Evidence of Coverage Large Print

PDF icon LP_2024 SOF Retiree HMO EOC (003).pdf

2024 State of Florida Comparison Sheet

PDF icon 2024-State-of-Florida-Comparison-Sheet.pdf

Medicare 2025, State of Florida

2024 State of Florida Comparison Sheet

PDF icon 2024State-of-FloridaComparisonSheet.pdf

State of Florida

2024 State of Florida High Deductible SBC

PDF icon 2024-SOF-HighDeductible-SBC.pdf

State of Florida

2024 State of Florida Medicare High Deductible SBC

PDF icon 2024-SOF-Medicare-HighDeductible-SBC.pdf

State of Florida

2024 State of Florida Medicare Standard SBC

PDF icon 2024-SOF-Medicare-Standard-SBC.pdf

State of Florida

2024 State of Florida Member Handbook

PDF icon State of Florida 2024 SPD - Member Handbook.pdf

2024 State of Florida Retiree Advantage Evidence of Coverage

PDF icon H5938-804-HMO-EOC-2024_508.pdf

2024 State of Florida Retiree Advantage Plan Comparison

PDF icon 2024-State-of-Florida-Comparison-Sheet.pdf

2024 State of Florida Retiree Advantage Schedule of Copayments

PDF icon 2024-State-of-Florida-Retiree-Advantage-Schedule-of-Copayments.pdf

2024 State of Florida Retiree Advantage Schedule of Copayments

PDF icon 2024-State-of-Florida-Retiree-Advantage-Schedule-of-Copayments.pdf

2024 State of Florida Retiree Classic Schedule of Copayments

PDF icon 2024-State-of-Florida-Retiree-Classic-Schedule-of-Copayments.pdf

2024 State of Florida Retiree Classic Schedule of Copayments

PDF icon 2024-State-of-Florida-Retiree-Classic-Schedule-of-Copayments.pdf

State of Florida

2024 State of Florida Standard SBC

PDF icon 2024-SOF-Standard-SBC.pdf

2024 TMH Schedule of Copays

PDF icon 2024-TMH-Schedule-of-Copays.pdf

2024 Transition Policy

PDF icon 2024-Transition-Policy.pdf

Medicare 2025

2024-SAPPA-Enrollment-Application_filed_PDF

PDF icon 2024-SAPPA-Enrollment-Application_filed_PDF v2.pdf

Medicare 2025

2025 4 16RA Formulary V3

PDF icon 2025-4-16RA-formulary-V3.pdf

Agents, Employers

2025 ACA and ABP Small Group Benefits

PDF icon 2025_ACA-ABP_Benefits-FINAL.pdf

2025 Advantage Plus Annual Notice of Change

PDF icon H5938-001-HMO-ANOC-2025-R4.pdf

2025 Advantage Plus Evidence of Coverage

PDF icon H5938-001-HMO-EOC-2025-FINAL2_508.pdf

2025 Big Bend Choice Schedule of Copays

PDF icon 2025-Big-Bend-Choice-Schedule-of-Copays.pdf