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Home / 2017 Option Period

2017 Option Period

2017 Option Period Banner

Attention Pre-Medicare HealthChoice Health Plan Members, Your Action is Required!

If you are a non-tobacco user, you will want to complete the Tobacco-Free Attestation. Members who do not or cannot attest to being tobacco-free will have a higher deductible and out-of-pocket limit for Plan Year 2017. Visit the Be Tobacco-Free page for more information.

Current Employee tab Former Employee PreMedicare Former Employees Medicare

2017 Current Employee Monthly Premiums

Current Employee Cumulative Premiums

Plan Changes

Health Plan Comparison Chart

Dental Plan Comparison Chart

Vision Plan Comparison Chart

ZIP Code Service Areas

Plan Contact Information

Blank Option Period Enrollment Form

Beneficiary Designation Form

Life Insurance Application

Employee Benefit Options Guide Presentation 

2017 Employee Benefit Options Guide

2017 Former Employees and Surviving Dependents Monthly Premiums

2017 COBRA Monthly Premiums

Plan Changes

Health Plan Comparison Chart

Dental Plan Comparison Chart

Vision Plan Comparison Chart

ZIP Code Service Areas

Plan Contact Information

Blank Option Period Form for COBRA Members

Blank Option Period Form for Former Employees and Surviving Dependents

Retiree Option Period Meeting Schedule

Beneficiary Designation Form

2017 Former Employee Option Period Guide

2017 Former Employee Medicare and Medicare Advantage Prescription Drug (MA-PD) Plans Monthly Premiums

Plan Changes

Medicare Supplement Comparison Chart

Medicare Advantage Prescription Drug Plan Comparison Chart

Dental Plan Comparison Chart

Vision Plan Comparison Chart

ZIP Code Service Areas 

Plan Contact Information

Blank Option Period Form for COBRA Medicare Members

Blank Option Period Form for Former Employees and Surviving Dependents

Application for Medicare Advantage Prescription Drug (MA-PD) Plan

Application for Medicare Supplement Plan

Retiree Option Period Meeting Schedule

Beneficiary Designation Form

2017 Medicare Option Period Guide

Option Period information will be added as it becomes available.

Last Modified on 09/28/2016
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