Applications

• Application

Brochures

• Elite - Ind. Health Portfolio
• Condition Specific Deductable
• CoreMed - Elite
• Dental Vision
• HSA - Elite
• HSA Tools
• Max Plan - Elite
• RightStart PPO - Elite
• SuiteSolutions

Forms

• HAA Enrollment
• Replacment Form
• State Variations
• Underwriting Authorization
• Business Group of One Waiver
• HIPPA Form

Usefull Tools

• Colorado Preferred Rating Questionnaire
• Colorado Commission Disclosure Form

Access Plans (Limited Benefits)

• Affordable Access PowerPoint
• Affordable Access PowerPoint (States: OK and MO)

Blue Prefferred PPO

• Brochure
• HPDF 1000-1000
• HPDF 1000-2000
• HPDF 2000-1000
• HPDF 2000-2000
• HPDF 250-1000
• HPDF 250-2000
• HPDF 3000-2000
• HPDF 500-1000
• HPDF 500-2000
• HPDF All Blue Prefferred PPO
• Rate Sheet Effective Jan. 2010

CoreShare

• Brochure
• HPDF
• Rates Effective April 2010

Lumenos

• HIA/HIA+ Brochure
• HSA Brochure
• HPDF HIA
• HPDF HIA +
• HPDF HSA
• HPDF Legacy HSA Rollup
• Rate Sheet Effective April 2010
• Rate Sheet Legacy HSA

Right Plan 40

• Brochure
• HPDF Full Rx
• HPDF Generic Rx
• HPDF No Rx
• Rate Sheet Effective Jan. 2010

Smart Sense

• Brochure
• HPDF Full Rx
• HPDF Generic Rx
• Rates Effective April 2010

Tonik

• Brochure
• HPDF 1500
• HPDF 3000
• HPDF 5000
• Rates Effective Jan 2010

Usefull Tools

• Affidavit of Domestic Partnership
• Commission Disclosure
• HIPAA Privacy Notice
• Ind. Anthem Application
• Ind. Change of Coverage Application
• Major Medical Rates
• Medical Report Form
• Plan Option Table Effective Mar. 2010
• Plan Option Table Rational Effective Mar. 2010
• Replacement Form
• UChoose Brochure/Tri fold
• Affidavit of Common Law Marriage
• Checking Account Auto Premium Payment
• Credit Card Authorization
• Exception to Standard Enrollment
• Medical Report for Non-US Citizens/New Citizens

Applications

• Application

Brochures

• Exante HSA Handbook
• Health Plans
• HSA Insert

Forms

• Blood Pressure Inquiry
• EFT Authorization
• FACT Benefit
• Heart Murmur Inquiry

Usefull Tools

• Colorado Commission Disclosure Form
• Preferred Network List All States
• Copay Health Benefit Plan Discription
• Copay Saver Benefits Plan Discription
• Health Plan Copay Saver Plan Discription
• Health Plan Copay Select Plan Discription
• Health Plan 100 Plan Discription
• Health Plan 80 Plan Discription
• Health Plan Saver 80 Plan Discription
• HSA 100 Health Plan Discription
• HSA Saver Plan Discription

Applications

• Application w/ updated 08 HIPPA form

Brochures

• Flex Advantage
• Flex Advantage Health Plan Description
• Flex advantage Traditional 80 Health Plan Description
• HD Advantage with Complete HSA Benefit Option
• Value Advantage 70 and 50 Health Plan Description
• Value Advantage

Forms

• HSA Account Authorization Form - (All States)
• Monthly Credit Card Billing Authorization - (All States)
• Preferred Rating Questionaire - (All States)
• Business Group of One Replacment Form
• Replacement Form Packet

Usefull Tools

• Colorado Commission Disclosure Form
• Underwriting Agent Guide
• Payment Options