Plan Forms and Documents for Brokers

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Broker Forms and Documents

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What Are You Looking For?

 

Large Group

 

SOLO

 

Small Group

 

Exchange

  • Access Health CT Product Brochure

  • ACA Drug List

    Drugs covered without a cost-share under the Affordable Care Act.

  • Benefits of a Health Savings Account (HSA)

 

Large Group

 

SOLO

 

Small Group

 

Exchange

  • Access Health CT Product Brochure

  • ACA Drug List

    Drugs covered without a cost-share under the Affordable Care Act.

  • Benefits of a Health Savings Account (HSA)

 

Other forms

  • Medicare Advantage

    Forms for members of Medicare Advantage plans.

  • Members Under 65

    Find forms members may need.
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Any information provided on this Website is for informational purposes only. It is not medical advice and should not be substituted for regular consultation with your health care provider. If you have any concerns about your health, please contact your health care provider's office.

Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary,or other plan documents for specific information about your benefits coverage.