INSURANCE RESOURCES

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Table of Contents:

Arizona Individual

     HSA Summary of Benefits
    PPO Summary of Benefits
   

Illinois Individual

     HSA Summary of Benefits
    PPO Summary of Benefits
   

Indiana Individual

     HSA Summary of Benefits
    PPO Summary of Benefits
   

Michigan Individual

     CoverageFirst 100/70 Disclosure
    CoverageFirst 80/60 Disclosure
    CoverageFirst 80/60 Plan
    CoverageFirst 100/70 Plan
    CoverageFirst 80/50 Plan
    HDHP 100/70 Plan
    HDHP 80/50 Plan
    HDHP 90/60 Plan
    HDHP 100/60 Plan
    PPO 100/60 Co-pay Plan
    PPO 100/70 Co-pay Plan
    PPO 70/50 Co-pay Plan
    PPO 80/50 Co-pay Plan
    PPO 90/60 Co-pay Plan
    PPO 100/60 Disclosure
    PPO 80/60 Disclosure
    PPO 90/70 Disclosure
    PPO 90/80 Disclosure
    PPO Summary of Benefits 100/60
    PPO Summary of Benefits 80/50
    PPO Summary of Benefits 90/60
    HSA Summary of Benefits
    PPO Summary of Benefits

Group
    MI 100-60 PPO
    MI 90-60 PPO
    Employer Group Application
    Enrollment Application
    Group 80-50 Benefits Summary
    Group PPO Summary of Benefits
    Employee Evidence of Health
    2-50 Employee Application
    Employee Application
    10-50 Employee Enrollment Application
    Group Business Profile
    Group Medical Plan Selection
    HDHP - HSA Benefit Sheet
    Submission Checklist
    Humana EmployerLife
    CoverageFirst 100/70 Disclosure
    CoverageFirst 80/60 Disclosure
    CoverageFirst 80/60 Plan
    CoverageFirst 100/70 Plan
    CoverageFirst 80/50 Plan
    HDHP 100/70 Plan
    HDHP 80/50 Plan
    HDHP 90/60 Plan
    HDHP 100/60 Plan
    PPO 100/60 Co-pay Plan
    PPO 100/70 Co-pay Plan
    PPO 70/50 Co-pay Plan
    PPO 80/50 Co-pay Plan
    PPO 90/60 Co-pay Plan
    PPO 100/60 Disclosure
    PPO 80/60 Disclosure
    PPO 90/70 Disclosure
    PPO 90/80 Disclosure
    PPO Summary of Benefits 100/60
    PPO Summary of Benefits 80/50
    PPO Summary of Benefits 90/60

    Vision Brochure
    HumanaVision Advantage
    HumanaVision Focus
    HumanaVision Optimum
   

Missouri Individual

     HSA Summary of Benefits
    PPO Summary of Benefits
   

Ohio Individual

      HSA Summary of Benefits
    PPO Summary of Benefits
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