Standard coverage documents

Below are our standard certificates of coverage (COC), insurance policies, and other comprehensive plan documents for 2017. Employer groups, especially self-funded employer groups, modify some of the coverage in these plans, so they will not apply 100% to all members.

Large group (51+ employees) coverage documents for 2019

EPO Certificate of Coverage

HMO Certificate of Coverage

HMO (Retiree Only) Certificate of Coverage

2017 POS-A Certificate of Coverage

POS-B Insurance Policy

PPO Insurance Policy

Small group coverage documents for 2019

HMO Certificate of Coverage

POS Certificate of Coverage

PPO Insurance Policy

MyPriority® coverage documents for 2019

There are two versions of most MyPriority plans, one for individuals who purchase directly from us or our agents, and one for the individuals who purchase their plan on the federal Marketplace website (MP).

HMO Agreement 

HMO Agreement (MP)

HSA HMO Agreement

HSA HMO Agreement (MP)

POS Agreement  

POS Agreement (MP)

HSA POS Agreement

HSA POS Agreement (MP)

Short-term PPO Policy

PriorityMedicare® Medicare Advantage Evidence of Coverage (EOC) documents for 2019

PriorityMedicare EOC

PriorityMedicare Ideal EOC

PriorityMedicare Key EOC

PriorityMedicare Merit EOC

PriorityMedicare Select EOC

PriorityMedicare Value EOC

 

PriorityMedicare® Medicare Advantage Evidence of Coverage (EOC) documents for 2018

PriorityMedicare EOC

PriorityMedicare Ideal EOC

PriorityMedicare Key EOC

PriorityMedicare Merit EOC

PriorityMedicare Select EOC

PriorityMedicare Value EOC

 

Medigap plan certificates effective 2019

Medigap Plan A 

Medigap Plan C

Medigap Plan D

Medigap Plan F

Medigap Plan G

Medigap Plan N