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Broker Resources
Broker Resources
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Forms
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Member Benefit Information
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Benefit Comparisons: 2026
Large Group Benefit Comparison (2026)
Small Group Benefit Comparison (2026)
Individual Benefit Comparison (2026)
Benefit Comparisons: 2025
Large Group Benefit Comparison (2025)
Small Group Benefit Comparison (2025)
Individual Benefit Comparison (2025)
Other Sales Materials
Provider Network Brochure
10 Reasons We Are Good for Your Business
The Flexible HMO Brochure
Small Group Brochure
Bonus Program
Applications
Individual Application + Supplement (2025)
Individual Application + Supplement Spanish (2025)
Large Employer Group Application (
2025
|
2026
)
Small Employer Group Application (
2025
| 2026)
Enrollment
Open Enrollment Guide for Small Group (2025)
Open Enrollment Guide for Large Group (2025)
Group Enrollment/Change
Group HSA Authorization
Individual HSA Authorization
Broker-Agent Materials/Forms
Opportunities Brochure
Broker Agent Kit & Forms
Broker Agency Kit & Forms
Agent Agreement
Business Associate Amendment
Direct Deposit Form
IRS Form W-9
Other
Continuity of Care Request Form
Declination of Coverage
eCheck Payment Authorization Form
EFT Authorization Form
HIPAA Authorization for Use or Disclosure
Individual Termination Form
Member Termination Form for Groups
Non-Registered Domestic Partner Form
Owner Statement
Rate Filing Disclosure
Rate Change Justification-Individual-Covered CA (English)
Small Group Underwriting Guidelines
Large Group Wellness Brochure
Member Documents
Advantage Referral
Behavioral Health
Complementary and Alternative Medicine (CAM)
Convenient Care Options
Digital Resources: Apps and Mobile
Emergency Travel Assistance
Family & Diversity Support Flyer
Health Plan Basics: WHA FAQs
HDHP: Considering an HSA-Compatible Plan
HDHP: Managing Your HDHP + HSA
HDHP: Considering an HSA-Compatible Plan (HealthEquity)
HDHP: Managing Your HDHP + HSA (HealthEquity)
Kaia Digital Pain Management
Livongo for Hypertension Flyer
Nutritional Counseling for Weight Management
Parent Support (Small Group)
Preferred Drug List (EHB)
Preferred Drug List - Federal Employees Health Benefits (FEHB)
Preferred Drug List - Premium
Preferred Drug List - Premium + Infertility
Prescription Benefits
TruHearing Group Choice Select flyer
Virta Type 2 Diabetes Reversal
Wellness Brochure (Large Group)
Wellness Brochure (Small Group)
Wellness Brochure (Individual)
Frequently Asked Questions
Group FAQs
